Fort, Chancey

Fort, Chancey is an sole proprietor health care provider with primary practice located at 850 Madison Ave , Madison MS 39110-8681. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fort, Chancey can be contacted via phone (769) 257-0517.

Contact Information

Primary practice address
850 Madison Ave Madison MS 39110-8681
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2996 Mississippi

Profile Details

NPI number 1821774217
LBN Legal business name Fort, Chancey
Credentials LPC, RPT, NCC, NCSC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2023
Last updated Jun 22nd, 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.

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