Healthcare Provider Details

I. General information

NPI: 1619253036
Provider Name (Legal Business Name): CHAT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2011
Last Update Date: 10/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 ESMONT AVE
SPRING HILL FL
34608-5101
US

IV. Provider business mailing address

1370 ESMONT AVE
SPRING HILL FL
34608-5101
US

V. Phone/Fax

Practice location:
  • Phone: 352-293-2300
  • Fax: 484-905-0234
Mailing address:
  • Phone: 352-293-2300
  • Fax: 484-905-0234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. WINNIFRED WHITTAKER
Title or Position: CEO
Credential: PH. D
Phone: 352-293-2300