Provider Demographics
NPI:1770298523
Name:BARBOSA, CHELSEA (LPC)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:BARBOSA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 W LAKE MARY BLVD # 3025
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-5925
Mailing Address - Country:US
Mailing Address - Phone:407-506-7863
Mailing Address - Fax:
Practice Address - Street 1:250 W LAKE MARY BLVD
Practice Address - Street 2:SUITE #3025
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773
Practice Address - Country:US
Practice Address - Phone:407-506-7863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional