DR. Chancey Fort, LPC, RPT, NCC, NCSC
NPI #1821774217 in Madison, Mississippi
Provider Information
- NPI Number
- 1821774217
- Entity Type
- Individual
- Name
- DR. Chancey Fort, LPC, RPT, NCC, NCSC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC, RPT, NCC, NCSC
- Enumeration Date
- Jun 22, 2023
- Last Updated
- Oct 1, 2025
Practice Location
- Address
- 105 EXECUTIVE DR STE A
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-8496
- Phone
- (601) 340-9498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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