Provider Demographics
NPI:1255624573
Name:CHAPPEL, DAWN PARR (LMFT)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:PARR
Last Name:CHAPPEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:DEANN
Other - Last Name:PARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:721 RIDGEWOOD AVE
Mailing Address - Street 2:UNIT 6
Mailing Address - City:HOLLY HILL
Mailing Address - State:FL
Mailing Address - Zip Code:32117-3646
Mailing Address - Country:US
Mailing Address - Phone:386-252-3414
Mailing Address - Fax:386-252-3495
Practice Address - Street 1:721 RIDGEWOOD AVE
Practice Address - Street 2:UNIT 6
Practice Address - City:HOLLY HILL
Practice Address - State:FL
Practice Address - Zip Code:32117-3646
Practice Address - Country:US
Practice Address - Phone:386-252-3414
Practice Address - Fax:386-252-3495
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-19
Last Update Date:2014-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2417106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist