Provider Demographics
NPI:1558668426
Name:CHAPIN, BRIAN C (PLPC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:C
Last Name:CHAPIN
Suffix:
Gender:M
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12813 FLUSHING MEADOWS DRIVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:DES PERES
Mailing Address - State:MO
Mailing Address - Zip Code:63131
Mailing Address - Country:US
Mailing Address - Phone:636-466-0329
Mailing Address - Fax:573-335-8610
Practice Address - Street 1:12813 FLUSHING MEADOWS DRIVE
Practice Address - Street 2:SUITE 140
Practice Address - City:DES PERES
Practice Address - State:MO
Practice Address - Zip Code:63131
Practice Address - Country:US
Practice Address - Phone:636-466-0329
Practice Address - Fax:573-335-8610
Is Sole Proprietor?:No
Enumeration Date:2011-02-11
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO201004170101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional