Provider Demographics
NPI:1407309263
Name:SCIABARRASSI, CHELSEA
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:
Last Name:SCIABARRASSI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:SHIRSHAC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 S PINE STREET
Mailing Address - Street 2:UNIT 3
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01835
Mailing Address - Country:US
Mailing Address - Phone:978-682-7289
Mailing Address - Fax:978-686-2954
Practice Address - Street 1:15 UNION STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840
Practice Address - Country:US
Practice Address - Phone:978-651-2561
Practice Address - Fax:978-686-2954
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-28
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101YM0800X101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health