Center for Sexual Health & Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12547 Issued in FL

Legal business name

CENTER FOR SEXUAL HEALTH & WELLNESS, LLC

Practice address

1860 SW Fountainview Blvd Ste 100
Port St Lucie, FL 34986-4528

Phone

(772) 208-7834

Fax

(495) 774-6179

NPI assigned

Mar 30, 2017

Last updated

Oct 29, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Chasity Shanell Chandler, LMHC, MCAP, ICADC,

Title

Owner/Therapist

Phone

(772) 245-7608

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chasity Shanell Fowlkes, LMHC, CAP

  • Mental Health Counselor
  • Fort Pierce, FL
  • NPI 1992050728
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1841722741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864528",
            "telephone_number": "772-208-7834",
            "fax_number": "495-774-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864528",
            "telephone_number": "772-208-7834",
            "fax_number": "495-774-6179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20535 NW 2nd Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331692547",
            "country_code": "US",
            "telephone_number": "772-208-7834",
            "fax_number": "949-577-4617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2440 SE Federal Hwy Ste Q",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349944531",
            "country_code": "US",
            "telephone_number": "772-208-7834",
            "fax_number": "949-577-4617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 17th St Ste F",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329605636",
            "country_code": "US",
            "telephone_number": "772-208-7834",
            "fax_number": "949-577-4716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 22nd St S Ste S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337122250",
            "country_code": "US",
            "telephone_number": "772-208-7834",
            "fax_number": "949-577-4617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR SEXUAL HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_middle_name": "SHANELL",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "772-245-7608",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, MCAP, ICADC,"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH12547",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP10044",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12547",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH12547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.