Provider Demographics
NPI:1386509909
Name:VILLA, CHANDLER MARGARET
Entity type:Individual
Prefix:
First Name:CHANDLER
Middle Name:MARGARET
Last Name:VILLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 N 24TH ST
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76708-1916
Mailing Address - Country:US
Mailing Address - Phone:254-654-2112
Mailing Address - Fax:
Practice Address - Street 1:3220 N 24TH ST
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76708-1916
Practice Address - Country:US
Practice Address - Phone:254-654-2112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-16
Last Update Date:2025-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1115451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical