Provider Demographics
NPI:1689007692
Name:LINK, CHELSEA
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:LINK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 E CEDAR ST
Mailing Address - Street 2:115
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1891
Mailing Address - Country:US
Mailing Address - Phone:913-298-1258
Mailing Address - Fax:
Practice Address - Street 1:1715 E CEDAR ST
Practice Address - Street 2:SUITE 115
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1891
Practice Address - Country:US
Practice Address - Phone:816-977-3178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2485106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist