MEDICARE: MS. CHENOA BLOT LMHC

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	171400000X	Health & Wellness Coach
2	101YM0800X	Mental Health Counselor	003103	PR

General Provider Information

NPI Number	:	1669280863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHENOA BLOT LMHC

Provider Business Mailing Address
First Line	:	PO BOX 535
Second Line	:
City	:	MOROVIS
State	:	PR
Zip	:	00687-0535
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 535
Second Line	:
City	:	MOROVIS
State	:	PR
Zip	:	00687-0535
Country	:	US
Telephone Number	:	--
Fax Number	:

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

Provider Enumeration Date	:	12/20/2024
Last Update Date	:	12/20/2025

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