Provider Demographics
NPI:1295284222
Name:CHATMAN, TAMEKA N (LCADC)
Entity type:Individual
Prefix:
First Name:TAMEKA
Middle Name:N
Last Name:CHATMAN
Suffix:
Gender:F
Credentials:LCADC
Other - Prefix:
Other - First Name:TAMEKA
Other - Middle Name:N
Other - Last Name:MOTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCADC
Mailing Address - Street 1:82 CLIFFWOOD AVE UNIT 28
Mailing Address - Street 2:
Mailing Address - City:CLIFFWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07721-1082
Mailing Address - Country:US
Mailing Address - Phone:908-283-0415
Mailing Address - Fax:
Practice Address - Street 1:367 OLD BRIDGE TPKE
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2349
Practice Address - Country:US
Practice Address - Phone:732-794-3629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-03
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00203400101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)