Provider Demographics
NPI:1316313646
Name:ROLAND, CHELSEA (LPC)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:
Last Name:ROLAND
Suffix:
Gender:F
Credentials:LPC
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 50
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:MI
Mailing Address - Zip Code:48625-0050
Mailing Address - Country:US
Mailing Address - Phone:989-402-4072
Mailing Address - Fax:
Practice Address - Street 1:741 RICHARD DR
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:MI
Practice Address - Zip Code:48625-9289
Practice Address - Country:US
Practice Address - Phone:989-402-4072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-21
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014984101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional