MEDICARE: MS. STEPHANIE LOUISE CHATMAN

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1396626990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE LOUISE CHATMAN

Provider Business Mailing Address
First Line	:	2963 FOURTOWERS DR APT 4
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-2554
Country	:	US
Telephone Number	:	267-606-5304
Fax Number	:

Provider Business Practice Location Address
First Line	:	2963 FOURTOWERS DR APT 4
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-2554
Country	:	US
Telephone Number	:	267-606-5304
Fax Number	:

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

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	09/10/2025

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