Provider Demographics
NPI:1821880352
Name:HAUSENFLUCK, CHELSEA D
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:D
Last Name:HAUSENFLUCK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1648 E VERANO WAY
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-8449
Mailing Address - Country:US
Mailing Address - Phone:928-300-4287
Mailing Address - Fax:
Practice Address - Street 1:690 E WARNER RD STE 152
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3059
Practice Address - Country:US
Practice Address - Phone:480-282-8778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist