Provider Demographics
NPI:1578295218
Name:DARLING, CHELSEA (MA, NCC, ATR-P)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:DARLING
Suffix:
Gender:F
Credentials:MA, NCC, ATR-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 W FIRST ST APT 560
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-4025
Mailing Address - Country:US
Mailing Address - Phone:201-835-6304
Mailing Address - Fax:
Practice Address - Street 1:5272 SUMMERLIN COMMONS WAY STE 602
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-2156
Practice Address - Country:US
Practice Address - Phone:239-297-7099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH21119101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty