Provider Demographics
NPI:1063907392
Name:CHAPMAN, MACY (LMFT, LPCC)
Entity type:Individual
Prefix:MS
First Name:MACY
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1146 SOQUEL AVE UNIT 4071
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95063-1085
Mailing Address - Country:US
Mailing Address - Phone:831-222-0455
Mailing Address - Fax:
Practice Address - Street 1:1146 SOQUEL AVE UNIT 4071
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95063-1085
Practice Address - Country:US
Practice Address - Phone:831-222-0455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2024-11-01
Deactivation Date:2018-09-28
Deactivation Code:
Reactivation Date:2018-10-25
Provider Licenses
StateLicense IDTaxonomies
CA121872106H00000X
CA101YP2500X
CA109870106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional