Provider Demographics
NPI:1538657952
Name:MONET, CHANTAL MARIE
Entity type:Individual
Prefix:
First Name:CHANTAL
Middle Name:MARIE
Last Name:MONET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHANTAL
Other - Middle Name:MARIE
Other - Last Name:ROMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3311 BUSHNELL CAMPBELL RD
Mailing Address - Street 2:
Mailing Address - City:FOWLER
Mailing Address - State:OH
Mailing Address - Zip Code:44418-9762
Mailing Address - Country:US
Mailing Address - Phone:330-246-0973
Mailing Address - Fax:
Practice Address - Street 1:165 E PARK AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-2352
Practice Address - Country:US
Practice Address - Phone:330-544-8005
Practice Address - Fax:330-544-9379
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker