Provider Demographics
NPI:1356128706
Name:MABES, CHELSEA LIAN (MA, MT-BC)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:LIAN
Last Name:MABES
Suffix:
Gender:F
Credentials:MA, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2564 HIDEAWAY NORTH DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-2043
Mailing Address - Country:US
Mailing Address - Phone:937-622-0944
Mailing Address - Fax:
Practice Address - Street 1:2564 HIDEAWAY NORTH DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-2043
Practice Address - Country:US
Practice Address - Phone:937-622-0944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist