Provider Demographics
NPI:1649622986
Name:HEARD, CHELSEA (PLMSW)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:HEARD
Suffix:
Gender:F
Credentials:PLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1043 BRUCE ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-5809
Mailing Address - Country:US
Mailing Address - Phone:901-340-9162
Mailing Address - Fax:
Practice Address - Street 1:2809 FOREST HOME RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-5320
Practice Address - Country:US
Practice Address - Phone:870-972-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker