Healthcare Provider Details

I. General information

NPI: 1679247134
Provider Name (Legal Business Name): CHELSEA NOEL LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2021
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 5TH AVE
NEW YORK NY
10016-6601
US

IV. Provider business mailing address

11308 N 52ND ST UNIT 101
TAMPA FL
33617-2185
US

V. Phone/Fax

Practice location:
  • Phone: 716-829-7495
  • Fax:
Mailing address:
  • Phone: 716-799-2049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: