1023387321 NPI number — CHELSEY NICOLE FLOHE LCSW, BCD

Table of content: CHELSEY NICOLE FLOHE LCSW, BCD (NPI 1023387321)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023387321 NPI number — CHELSEY NICOLE FLOHE LCSW, BCD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLOHE
Provider First Name:
CHELSEY
Provider Middle Name:
NICOLE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW, BCD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023387321
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/28/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PSC BOX 8023
Provider Second Line Business Mailing Address:
BLDG 4389
Provider Business Mailing Address City Name:
CHERRY POINT
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28533
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-466-0233
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PSC BOX 8023
Provider Second Line Business Practice Location Address:
BLDG 4389
Provider Business Practice Location Address City Name:
CHERRY POINT
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28533
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-466-0233
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/16/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LCS 24072 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)