Provider Demographics
NPI:1730740069
Name:CHEPELY, EMMOGENE LEE (LPC)
Entity type:Individual
Prefix:
First Name:EMMOGENE
Middle Name:LEE
Last Name:CHEPELY
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:EMMOGENE
Other - Middle Name:LEE
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:514 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:HERMANN
Mailing Address - State:MO
Mailing Address - Zip Code:65041-1026
Mailing Address - Country:US
Mailing Address - Phone:636-283-0255
Mailing Address - Fax:
Practice Address - Street 1:514 W 6TH ST
Practice Address - Street 2:
Practice Address - City:HERMANN
Practice Address - State:MO
Practice Address - Zip Code:65041-1026
Practice Address - Country:US
Practice Address - Phone:636-283-0255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-26
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017016290101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health