Provider Demographics
NPI:1720786932
Name:CHAPMAN, TESSA NICOLE (LMHC)
Entity Type:Individual
Prefix:
First Name:TESSA
Middle Name:NICOLE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 E INDIANA ST STE 103
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-7448
Mailing Address - Country:US
Mailing Address - Phone:812-401-8008
Mailing Address - Fax:812-401-8201
Practice Address - Street 1:7300 E INDIANA ST STE 103
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-7448
Practice Address - Country:US
Practice Address - Phone:812-401-8008
Practice Address - Fax:820-812-4201
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003179A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health