MEDICARE: CHELSEA PALMA M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1316308240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA PALMA M.A.

Provider Business Mailing Address
First Line	:	609 LAKE AVE
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-2707
Country	:	US
Telephone Number	:	407-257-3780
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 LAKE AVE
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-2707
Country	:	US
Telephone Number	:	407-257-3780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2016
Last Update Date	:	01/31/2023

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