Provider Demographics
NPI:1053908954
Name:CHENET, CELANIE RICARDINE (LMHC)
Entity type:Individual
Prefix:MS
First Name:CELANIE
Middle Name:RICARDINE
Last Name:CHENET
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4546 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5204
Mailing Address - Country:US
Mailing Address - Phone:954-716-6514
Mailing Address - Fax:754-223-2984
Practice Address - Street 1:3160 POWERLINE RD
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-5911
Practice Address - Country:US
Practice Address - Phone:954-567-7141
Practice Address - Fax:954-565-5624
Is Sole Proprietor?:No
Enumeration Date:2020-12-26
Last Update Date:2024-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH18697101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z01PCOtherMENTAL HEALTH