Provider Demographics
NPI:1992237291
Name:WELTCHEK, CHEA (MS, LCPC)
Entity type:Individual
Prefix:
First Name:CHEA
Middle Name:
Last Name:WELTCHEK
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14511 VENTRY FARM CT
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152-9631
Mailing Address - Country:US
Mailing Address - Phone:850-524-5637
Mailing Address - Fax:
Practice Address - Street 1:6600 YORK RD STE 110
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-2023
Practice Address - Country:US
Practice Address - Phone:850-524-5637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-28
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8539101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional