Chellette, Heather Graham
Chellette, Heather Graham is an sole proprietor health care provider with primary practice located at 829 E Georgia Ave Ste 3 , Ruston LA 71270-3901. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Chellette, Heather Graham can be contacted via phone (318) 242-0730.Contact Information
Primary practice address
829 E Georgia Ave Ste 3
Ruston LA 71270-3901
Phone: (318) 242-0730
Fax: (318) 242-0750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 4086 | Louisiana |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4086 | Louisiana |
Profile Details
| NPI number | 1235326133 |
|---|---|
| LBN Legal business name | Chellette, Heather Graham |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2007 |
| Last updated | Nov 21st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235326133 | NPPES |
| Louisiana | MEDICAID | 1235326133 |
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