Provider Demographics
NPI:1104271865
Name:CHAPMAN, SAYBRA RICE (LMHC)
Entity type:Individual
Prefix:
First Name:SAYBRA
Middle Name:RICE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35113 WHISPERING OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:RIDGE MANOR
Mailing Address - State:FL
Mailing Address - Zip Code:33523-9419
Mailing Address - Country:US
Mailing Address - Phone:352-583-2252
Mailing Address - Fax:
Practice Address - Street 1:14150 6TH ST
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33525-3805
Practice Address - Country:US
Practice Address - Phone:813-713-2977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3626101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health