Provider Demographics
NPI:1457831505
Name:NEMEC, CHELCIA AMBER TY (LPAT, ATR-BC, LPCC)
Entity Type:Individual
Prefix:
First Name:CHELCIA
Middle Name:AMBER TY
Last Name:NEMEC
Suffix:
Gender:F
Credentials:LPAT, ATR-BC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6207 OAKLEA DR
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-7102
Mailing Address - Country:US
Mailing Address - Phone:502-235-4309
Mailing Address - Fax:
Practice Address - Street 1:6207 OAKLEA DR
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-7102
Practice Address - Country:US
Practice Address - Phone:502-235-4309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY174863221700000X
KY243209101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist