Healthcare Provider Details

I. General information

NPI: 1669280863
Provider Name (Legal Business Name): CHENOA BLOT LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2024
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 535
MOROVIS PR
00687-0535
US

IV. Provider business mailing address

PO BOX 535
MOROVIS PR
00687-0535
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number003103
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: