MEDICARE: AISHA 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	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1609719889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AISHA CHATMAN

Provider Business Mailing Address
First Line	:	5065 US HIGHWAY 78 W STE A
Second Line	:
City	:	OXFORD
State	:	AL
Zip	:	36203-6132
Country	:	US
Telephone Number	:	205-565-8505
Fax Number	:

Provider Business Practice Location Address
First Line	:	5065 US HIGHWAY 78 W STE A
Second Line	:
City	:	OXFORD
State	:	AL
Zip	:	36203-6132
Country	:	US
Telephone Number	:	205-565-8505
Fax Number	:

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

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ AISHA CHATMAN ” Practice Location

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