Provider Demographics
NPI:1972358489
Name:ECHOLS, CHELSEA BROOKE (LPC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:BROOKE
Last Name:ECHOLS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 FIRE WHEEL PASS
Mailing Address - Street 2:
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642-2038
Mailing Address - Country:US
Mailing Address - Phone:940-886-8803
Mailing Address - Fax:
Practice Address - Street 1:148 FIRE WHEEL PASS
Practice Address - Street 2:
Practice Address - City:LIBERTY HILL
Practice Address - State:TX
Practice Address - Zip Code:78642-2038
Practice Address - Country:US
Practice Address - Phone:940-886-8803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86819101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional