Provider Demographics
NPI:1558636100
Name:CARSWELL, CHASITY J (DNP, FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:CHASITY
Middle Name:J
Last Name:CARSWELL
Suffix:
Gender:F
Credentials:DNP, FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:730 STONEBRANCH DR
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-6247
Mailing Address - Country:US
Mailing Address - Phone:470-715-2433
Mailing Address - Fax:678-404-8909
Practice Address - Street 1:267 LANGLEY DR # 1371
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-6907
Practice Address - Country:US
Practice Address - Phone:470-715-2433
Practice Address - Fax:678-404-8099
Is Sole Proprietor?:No
Enumeration Date:2012-03-15
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN175133363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily