Provider Demographics
NPI:1649927583
Name:CHAUMONT, HOLLYE RENEE (MA, PLPC)
Entity type:Individual
Prefix:
First Name:HOLLYE
Middle Name:RENEE
Last Name:CHAUMONT
Suffix:
Gender:F
Credentials:MA, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1137 N MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-1498
Mailing Address - Country:US
Mailing Address - Phone:817-264-2198
Mailing Address - Fax:
Practice Address - Street 1:1000 EDGEWATER PT STE 401
Practice Address - Street 2:
Practice Address - City:LAKE ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-2954
Practice Address - Country:US
Practice Address - Phone:636-442-2612
Practice Address - Fax:636-265-2905
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-09
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty