TEQUILA CHESTER
NPI 1417418294
Counselor in Ellenwood, GA

Active since March 26, 2019
4818 SILVERBUSH LN, ELLENWOOD, GA 30294(774) 302-9476 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tequila Chester NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEQUILA CHESTER (NPI 1417418294) is an individual counselor in Ellenwood, Georgia and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1417418294
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTEQUILA CHESTER
Location Address4818 SILVERBUSH LNEllenwood, GA 30294-6710
Mailing Address4818 Silverbush LnEllenwood, GA 30294-6710 · (774) 302-9476
Sole ProprietorNo
Enumeration DateMarch 26, 2019
NPI 1417418294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4818 SILVERBUSH LN, Ellenwood, GA 30294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tequila Chester's NPI number?

The NPI number for Tequila Chester is 1417418294. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Tequila Chester located?

Tequila Chester practices at 4818 Silverbush Ln, Ellenwood, GA 30294. The listed phone number is (774) 302-9476.

What is Tequila Chester's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tequila Chester was last updated on March 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.