Provider Demographics
NPI:1306364922
Name:FRICK, CHELSEA AMANDA (MA)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:AMANDA
Last Name:FRICK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:AMANDA
Other - Last Name:KRAICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:2880 COMMONWEALTH DR UNIT 932
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174
Mailing Address - Country:US
Mailing Address - Phone:603-540-5930
Mailing Address - Fax:
Practice Address - Street 1:1820 MEMORIAL CIR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043
Practice Address - Country:US
Practice Address - Phone:603-540-5930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-04
Last Update Date:2017-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health