IndividualActive
Tequila Chester
NPI 1417418294 · Counselor · Ellenwood, GA
Tequila Chester is a Counselor provider in Ellenwood, GA (NPI 1417418294).
Provider details
- NPI number
- 1417418294
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4818 Silverbush Ln
Ellenwood, GA 30294-6710
Phone: (774) 302-9476
Street-level locationGet directions
Mailing address
4818 Silverbush Ln
Ellenwood, GA 30294-6710
Registry dates
- Enumerated
- 2019-03-26
- Last updated
- 2019-03-26
Frequently asked questions
- What is Tequila Chester's NPI number?
- Tequila Chester's National Provider Identifier (NPI) is 1417418294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tequila Chester's specialty?
- Tequila Chester is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Tequila Chester located?
- Tequila Chester's practice location on file with NPPES is 4818 Silverbush Ln, Ellenwood, GA 30294-6710.
- What is Tequila Chester's phone number?
- The practice phone number listed in the NPPES registry for Tequila Chester is (774) 302-9476.
- Is Tequila Chester's NPI active?
- Yes — Tequila Chester's NPI (1417418294) is active in the NPPES registry as of the last update on 2019-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.