Provider Demographics
NPI:1689327868
Name:CHAMBERS, DEVEN D (MA, MS,)
Entity Type:Individual
Prefix:
First Name:DEVEN
Middle Name:D
Last Name:CHAMBERS
Suffix:
Gender:M
Credentials:MA, MS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9261
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-0021
Mailing Address - Country:US
Mailing Address - Phone:844-663-3932
Mailing Address - Fax:844-663-3932
Practice Address - Street 1:20 W SUNBRIDGE DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-1822
Practice Address - Country:US
Practice Address - Phone:844-663-3932
Practice Address - Fax:844-663-3932
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-28
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1906073101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health