Individual provider · Type 1 NPI

Chasity Shanell Fowlkes, LMHC, CAP

Mental Health Counselor · Fort Pierce, FL

NPI number 1992050728 Active

Practice location

2814 S US Highway 1, Suite D4
Fort Pierce, FL 34982-8120

Call (863) 669-8910 Map

Mailing address

11582 SW Village Pkwy # 1137
Port St. Lucie, FL 34987-2392

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XMH12547 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1992050728

Chasity Shanell Fowlkes, LMHC, CAP's National Provider Identifier is 1992050728, issued on Jul 18, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Pierce, FL. The record was last updated on Jun 8, 2023.