Provider Demographics
NPI:1205570645
Name:CHAPMAN, SHANTEL LASHAY (LMHC)
Entity type:Individual
Prefix:MS
First Name:SHANTEL
Middle Name:LASHAY
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SHANTEL
Other - Middle Name:CHAPMAN
Other - Last Name:WILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3026 ROYAL PALM AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-7335
Mailing Address - Country:US
Mailing Address - Phone:239-848-0469
Mailing Address - Fax:
Practice Address - Street 1:3026 ROYAL PALM AVE
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-7335
Practice Address - Country:US
Practice Address - Phone:239-848-0469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-22
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24083101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health