Provider Demographics
NPI:1568186724
Name:CHATMAN, T'CIA (LSW)
Entity Type:Individual
Prefix:MRS
First Name:T'CIA
Middle Name:
Last Name:CHATMAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MS
Other - First Name:T'CIA
Other - Middle Name:
Other - Last Name:MCGEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1127 W IOWA ST
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60425-1024
Mailing Address - Country:US
Mailing Address - Phone:708-674-1723
Mailing Address - Fax:
Practice Address - Street 1:5214 N WESTERN AVE STE 104
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-2588
Practice Address - Country:US
Practice Address - Phone:773-756-1733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional