Provider Demographics
NPI:1093402653
Name:CHARLES, CHLOE BELLA (RMHCI)
Entity Type:Individual
Prefix:MRS
First Name:CHLOE
Middle Name:BELLA
Last Name:CHARLES
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:MS
Other - First Name:CHLOE
Other - Middle Name:BELLA
Other - Last Name:BEYRENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 7843
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34101-7843
Mailing Address - Country:US
Mailing Address - Phone:239-777-6401
Mailing Address - Fax:
Practice Address - Street 1:900 6TH AVE S STE 201
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6745
Practice Address - Country:US
Practice Address - Phone:239-777-6401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH23033101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health