MEDICARE: MRS. CHANCIE CHANEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC018652	PA
2	101YM0800X	Mental Health Counselor	A15534	NC

General Provider Information

NPI Number	:	1093347023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHANCIE CHANEY

Provider Business Mailing Address
First Line	:	1569 MCFARLAND RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15216-1808
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1569 MCFARLAND RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15216-1808
Country	:	US
Telephone Number	:	919-886-7212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2020
Last Update Date	:	02/28/2026

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Directions to “ MRS. CHANCIE CHANEY ” Practice Location

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