Provider Demographics
NPI:1831442953
Name:GARMS, CHELSEY NICOLE (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:CHELSEY
Middle Name:NICOLE
Last Name:GARMS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:NICOLE
Other - Last Name:OSBURNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 RIPPLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-6503
Mailing Address - Country:US
Mailing Address - Phone:870-659-0253
Mailing Address - Fax:678-882-7040
Practice Address - Street 1:4 OFFICE PARK DR STE 4
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-3831
Practice Address - Country:US
Practice Address - Phone:386-446-9935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-26
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7501235Z00000X
ARP8615235Z00000X
GASLP012487235Z00000X
FLSA22689235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR195636721Medicaid