Provider Demographics
NPI:1013259829
Name:CHATMAN, SCARLET ADANA (NCC LPC)
Entity Type:Individual
Prefix:MS
First Name:SCARLET
Middle Name:ADANA
Last Name:CHATMAN
Suffix:
Gender:F
Credentials:NCC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 PLANTATION TRACE DR
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-1600
Mailing Address - Country:US
Mailing Address - Phone:470-504-3438
Mailing Address - Fax:
Practice Address - Street 1:116 PLANTATION TRACE DR
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1600
Practice Address - Country:US
Practice Address - Phone:678-744-9567
Practice Address - Fax:678-623-3323
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-19
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
252Y00000X
GA007044101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA007044OtherGEORGIA SECRETARY OF STATE LICENSING