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Provider Information for 1467193250


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CHELSEA LYNN CORLEY


Sex: Female

NPI: 1467193250
Last Updated: 2024-08-10
Certification Date: 2024-08-10

Details

NameValue
NPI1467193250
Enumeration Date2022-04-05
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2708 ANTHONY PL
LYNCHBURG, VA 24501-2406
United States

Phone: | Fax:
 
Primary Practice Address 2708 ANTHONY PL
LYNCHBURG, VA 24501-2406
United States

Phone: 571-250-7486 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101Y00000X - Counselor
No 101YM0800X - Counselor - Mental HealthVA0717001898
No 101YP2500X - Counselor - Professional
Yes 101YM0800X - Counselor - Mental Health