Healthcare Provider Details

I. General information

NPI: 1952221061
Provider Name (Legal Business Name): SCARLET CHANCEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 DUNWOODY PL # 10522
SANDY SPRINGS GA
30350-2995
US

IV. Provider business mailing address

PO BOX 757
GUYTON GA
31312-0757
US

V. Phone/Fax

Practice location:
  • Phone: 912-712-1280
  • Fax:
Mailing address:
  • Phone: 912-712-1280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: SCARLET CHANCEY
Title or Position: OWNER/THERAPIST
Credential: LPC
Phone: 912-712-1280