Provider Demographics
NPI:1215207816
Name:CHYBICKI, MARIA (LCPC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:CHYBICKI
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MISS
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:CHYBICKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:19654 VILLA ROSA LOOP
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33967-5713
Mailing Address - Country:US
Mailing Address - Phone:708-207-8713
Mailing Address - Fax:
Practice Address - Street 1:19654 VILLA ROSA LOOP
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33967-5713
Practice Address - Country:US
Practice Address - Phone:708-207-8713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH19350101YM0800X
IL180.003928101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health