Healthcare Provider Details

I. General information

NPI: 1649174202
Provider Name (Legal Business Name): SEAIRAH CHILES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4345 US HIGHWAY 9 STE 28
FREEHOLD NJ
07728-4206
US

IV. Provider business mailing address

1895 HOLLY RD
NORTH BRUNSWICK NJ
08902-2547
US

V. Phone/Fax

Practice location:
  • Phone: 732-515-4187
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: