Healthcare Provider Details

I. General information

NPI: 1720837909
Provider Name (Legal Business Name): CHELSEY SCOTT PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2024
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19221 I 45 S STE 110
SHENANDOAH TX
77385-8759
US

IV. Provider business mailing address

19221 I 45 S STE 110
SHENANDOAH TX
77385-8759
US

V. Phone/Fax

Practice location:
  • Phone: 832-753-6748
  • Fax: 281-417-5522
Mailing address:
  • Phone: 823-753-6748
  • Fax: 281-417-5522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1160780
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: