Look up the most recent NPI and PECOS records

Chante Pantila

Counselor

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Chante Pantila is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1437587201
Provider Type
Individual
Full Name
Pantila, Chante
Title
Dr.
Credential
DBH

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/14/2013
Last Updated
10/14/2013

Contact Information

Practice Location

1209 S 1st Ave, Phoenix, AZ 85003-2605

(602) 258-6797

(602) 254-7121

Mailing Location

1209 S 1st Ave, Phoenix, AZ 85003-2605

(602) 258-6797

(602) 254-7121

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License LAC-13696 Arizona

Chante Pantila

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Chapman, Precious

Murphy, Kyra

Better Starts Now, Llc

Maricopa County Adult Probation

Elsbecker, Lisa Elizabeth

Reyes-Arroyo, Aribeth

Hauer, Abby

Memushaj, Hermes

Turille, Kimberly

Spane, Celeste