Provider Demographics
NPI:1376196394
Name:CHASSEY, RICHARD (LPC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:CHASSEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 GREEN TOWN RD
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-2795
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:P.O. DRAWER 40
Practice Address - Street 2:
Practice Address - City:LUNENBURG
Practice Address - State:VA
Practice Address - Zip Code:23952
Practice Address - Country:US
Practice Address - Phone:434-696-3747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008471101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional