Provider Demographics
NPI:1396233151
Name:CHAMBERS, TRISHA (BS)
Entity type:Individual
Prefix:MRS
First Name:TRISHA
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 INTERSTATE BLVD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8409
Mailing Address - Country:US
Mailing Address - Phone:941-554-4551
Mailing Address - Fax:941-554-4575
Practice Address - Street 1:323 INTERSTATE BLVD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-8409
Practice Address - Country:US
Practice Address - Phone:941-554-4551
Practice Address - Fax:941-554-4575
Is Sole Proprietor?:No
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)