MEDICARE: CHANDLER COUNSELING LLC

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

General Provider Information

NPI Number	:	1396678157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHANDLER COUNSELING LLC

Provider Business Mailing Address
First Line	:	4900 CYPRESS ST STE 14
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-7672
Country	:	US
Telephone Number	:	318-789-9443
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 CYPRESS ST STE 14
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-7672
Country	:	US
Telephone Number	:	318-789-9443
Fax Number	:

Authorized Official
Title or Position	:	MANAGER, MEMBER
Name	:	ASHLEY CHANDLER
Credential	:
Telephone Number	:	318-789-9443

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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