Provider Demographics
NPI:1114317567
Name:CHAPPELL, BRENDA (LMHC)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 EAST COLONIAL DR
Mailing Address - Street 2:SUITE 390
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803
Mailing Address - Country:US
Mailing Address - Phone:321-356-5889
Mailing Address - Fax:855-574-0041
Practice Address - Street 1:612 EAST COLONIAL DR
Practice Address - Street 2:SUITE 390
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803
Practice Address - Country:US
Practice Address - Phone:321-356-5889
Practice Address - Fax:855-574-0041
Is Sole Proprietor?:No
Enumeration Date:2015-01-23
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health