Provider Demographics
NPI:1871212381
Name:BEST, JHAZMYNE CHANTEL (MSW)
Entity type:Individual
Prefix:
First Name:JHAZMYNE
Middle Name:CHANTEL
Last Name:BEST
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10184 KING ARTHUR DR APT F
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46229-1356
Mailing Address - Country:US
Mailing Address - Phone:219-484-5659
Mailing Address - Fax:
Practice Address - Street 1:4900 E 79TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-1615
Practice Address - Country:US
Practice Address - Phone:317-845-9441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99113771A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker