Provider Demographics
NPI:1871996470
Name:CHARDE-ST.GEORGE, WENDE ANNE (LMHC)
Entity type:Individual
Prefix:
First Name:WENDE
Middle Name:ANNE
Last Name:CHARDE-ST.GEORGE
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1658 DOUBLE EAGLE TRL
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-0509
Mailing Address - Country:US
Mailing Address - Phone:239-272-8386
Mailing Address - Fax:
Practice Address - Street 1:1658 DOUBLE EAGLE TRL
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34120-0509
Practice Address - Country:US
Practice Address - Phone:239-272-8386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-27
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH25220101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health