MEDICARE: NILS BETHEL CHANDLER LPC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	1780	GA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	NCACI013944	GA
3	101YM0800X	Mental Health Counselor	NCC88694	GA
4	101YP2500X	Professional Counselor	LPC004710	GA

General Provider Information

NPI Number	:	1396890489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NILS BETHEL CHANDLER LPC

Provider Business Mailing Address
First Line	:	300 W HOSPITAL RD
Second Line	:
City	:	FORT GORDON
State	:	GA
Zip	:	30905-6003
Country	:	US
Telephone Number	:	706-787-2876
Fax Number	:	706-787-8286

Provider Business Practice Location Address
First Line	:	300 W HOSPITAL RD
Second Line	:
City	:	FORT GORDON
State	:	GA
Zip	:	30905-6003
Country	:	US
Telephone Number	:	706-787-2876
Fax Number	:	706-787-8286

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

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	06/24/2025

Similar Medicare Providers

1568797173 — TATJANA ESTEP RAYCROFT LCSW, MAC
Practice Location Address:

234 CENTRAL HOSPITAL RD BLDG 329
FORT EISENHOWER, GA
30905-6003

Practice Phone: 706-787-5392
Practice Fax:

1689768103 — MS. ANGIE M. WALKER LCSW
Practice Location Address:

234 CENTRAL HOSPITAL RD BLDG 329
FT EISENHOWER, GA
30905-6003

Practice Phone: 706-787-2254
Practice Fax:

1538225479 — DR. SYLVANA MARIA RINALDI PHD
Practice Location Address:

8801 FORT HAMILTON PARKWAY
BROOKLYN, NY
11209-6003

Practice Phone: 718-748-7364
Practice Fax: 718-748-4419

1700909645 — DR. JEAN M. GOODWIN M.D.
Practice Location Address:

4925 FORT CROCKETT BLVD , SUITE 510
GALVESTON, TX
77551-6003

Practice Phone: 409-762-1101
Practice Fax: 409-762-1163

1962848689 — MELANIE MICHELLE BERKE RD, LDN
Practice Location Address:

834 CAL COVE DR
FORT MYERS, FL
33919-6003

Practice Phone: 239-233-0501
Practice Fax:

1033731252 — WENDY LEE BAUER BCBA
Practice Location Address:

2185 LEMOINE AVE APT 6G
FORT LEE, NJ
07024-6003

Practice Phone:
Practice Fax:

Directions to “ NILS BETHEL CHANDLER LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.