Provider Demographics
NPI:1215118203
Name:CHIPMAN, MARGIT (LMHC)
Entity type:Individual
Prefix:MS
First Name:MARGIT
Middle Name:
Last Name:CHIPMAN
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:PO BOX 2338
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33526-2338
Mailing Address - Country:US
Mailing Address - Phone:352-521-0887
Mailing Address - Fax:
Practice Address - Street 1:38008 LIVE OAK AVE STE 7
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33523-3847
Practice Address - Country:US
Practice Address - Phone:352-521-0887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-18
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3963101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health