Provider Demographics
NPI:1659854479
Name:VANVALIN, CHELSEA ROSE (MS, RMHCI)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:ROSE
Last Name:VANVALIN
Suffix:
Gender:F
Credentials:MS, RMHCI
Other - Prefix:MISS
Other - First Name:CHELSEA
Other - Middle Name:ROSE
Other - Last Name:DASILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1525 FLORIDA AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-7032
Mailing Address - Country:US
Mailing Address - Phone:239-595-5044
Mailing Address - Fax:
Practice Address - Street 1:7731 N MILITARY TRL STE 4
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-7430
Practice Address - Country:US
Practice Address - Phone:561-244-9499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH17039101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health