Provider Demographics
NPI:1740003045
Name:GARRITT, CHELSEA (MA, LPC)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:GARRITT
Suffix:
Gender:
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 N SPRING GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-3414
Mailing Address - Country:US
Mailing Address - Phone:267-640-9263
Mailing Address - Fax:
Practice Address - Street 1:4683 COUNTY LINE RD # 62
Practice Address - Street 2:
Practice Address - City:LINE LEXINGTON
Practice Address - State:PA
Practice Address - Zip Code:18932-9506
Practice Address - Country:US
Practice Address - Phone:215-984-2490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-05
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013750101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional