Healthcare Provider Details

I. General information

NPI: 1205197555
Provider Name (Legal Business Name): CHANTALE DEUS PIERRE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2012
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 FOX TRAIL AVE
MINNEOLA FL
34715-5259
US

IV. Provider business mailing address

1031 FOX TRAIL AVE
MINNEOLA FL
34715-5259
US

V. Phone/Fax

Practice location:
  • Phone: 352-459-4164
  • Fax:
Mailing address:
  • Phone: 352-459-4164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW24979
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: