Healthcare Provider Details

I. General information

NPI: 1538564802
Provider Name (Legal Business Name): CHASE THERAPIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2014
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

868 GEORGE W ENGRAM BLVD
DAYTONA BEACH FL
32114-1859
US

IV. Provider business mailing address

868 GEORGE W ENGRAM BLVD
DAYTONA BEACH FL
32114-1859
US

V. Phone/Fax

Practice location:
  • Phone: 386-310-7879
  • Fax: 386-233-3313
Mailing address:
  • Phone: 386-310-7879
  • Fax: 386-233-3313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMY KAREN FILSON
Title or Position: OWNER
Credential:
Phone: 386-295-5101