MEDICARE: CHANTELLE J KAPP LMFT

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	106H00000X	Marriage & Family Therapist	LMFT8345	SC

General Provider Information

NPI Number	:	1912871518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANTELLE J KAPP LMFT

Provider Business Mailing Address
First Line	:	3218 GREAT EGRET DR
Second Line	:
City	:	JOHNS ISLAND
State	:	SC
Zip	:	29455-9026
Country	:	US
Telephone Number	:	971-373-3166
Fax Number	:

Provider Business Practice Location Address
First Line	:	3227 WALTER DR STE B
Second Line	:
City	:	JOHNS ISLAND
State	:	SC
Zip	:	29455-8171
Country	:	US
Telephone Number	:	843-872-5454
Fax Number	:

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

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	03/04/2026

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