Provider Demographics
NPI:1326227208
Name:CHAPPELL, REMY BROOKE (MA, LCPC)
Entity Type:Individual
Prefix:MS
First Name:REMY
Middle Name:BROOKE
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4213 PULITZER CIR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-6244
Mailing Address - Country:US
Mailing Address - Phone:410-206-2222
Mailing Address - Fax:
Practice Address - Street 1:4213 PULITZER CIR
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-6244
Practice Address - Country:US
Practice Address - Phone:410-206-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3925101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional