Provider Demographics
NPI:1619566577
Name:CHAPMAN COLBERT, TYNASHKEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TYNASHKEE
Middle Name:
Last Name:CHAPMAN COLBERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 S BROUGHTON CT
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-2884
Mailing Address - Country:US
Mailing Address - Phone:601-527-4796
Mailing Address - Fax:
Practice Address - Street 1:408 S BROUGHTON CT
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-2884
Practice Address - Country:US
Practice Address - Phone:601-527-4796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW179321041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical