Provider Demographics
NPI:1679359913
Name:HUSKEY, CHELSIE L (PLPC)
Entity type:Individual
Prefix:
First Name:CHELSIE
Middle Name:L
Last Name:HUSKEY
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:CHELSIE
Other - Middle Name:L
Other - Last Name:BOYD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PLPC
Mailing Address - Street 1:811 RODNEY VISTA BLVD
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-4348
Mailing Address - Country:US
Mailing Address - Phone:573-587-2174
Mailing Address - Fax:
Practice Address - Street 1:339 BROADWAY ST STE 102
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-7321
Practice Address - Country:US
Practice Address - Phone:573-271-2008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023024409101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty