Provider Demographics
NPI:1588346522
Name:CHAPMAN, AUDREY ARMIT (LCPC-CC)
Entity type:Individual
Prefix:MS
First Name:AUDREY
Middle Name:ARMIT
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LCPC-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-2737
Mailing Address - Country:US
Mailing Address - Phone:207-572-0933
Mailing Address - Fax:
Practice Address - Street 1:901 WASHINGTON AVE STE 100
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-2842
Practice Address - Country:US
Practice Address - Phone:120-787-1120
Practice Address - Fax:207-871-1232
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL6784101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health