Provider Demographics
NPI:1467960898
Name:THORNHILL, CHELSEY JOHNSON (LPC)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:JOHNSON
Last Name:THORNHILL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6937 SW HOPKINS SWITCH RD
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:KS
Mailing Address - Zip Code:67042-9092
Mailing Address - Country:US
Mailing Address - Phone:316-377-0462
Mailing Address - Fax:
Practice Address - Street 1:4601 E DOUGLAS AVE STE 209
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-1031
Practice Address - Country:US
Practice Address - Phone:316-377-0462
Practice Address - Fax:316-337-3551
Is Sole Proprietor?:No
Enumeration Date:2018-01-19
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3214101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional