License Verification

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CHASITY SHANELL FOWLKES

License Number: MH12547

Data As Of 10/6/2026

Profession
Licensed Mental Health Counselor
License
MH12547
License Status
Clear/Active
Qualifications
Qualified Supervisor MHC
License Expiration Date
3/31/2027
License Original Issue Date
05/05/2014
Address of Record
1860 SW Fountainview Blvd
Suite 100
PORT SAINT LUCIE, FL 34986
Discipline on File
No
Public Complaint
No
Address
Virtually Only
STUART , FL 34994
Address
333 17th St. Suite F Port St. Lucie
VERO BEACH, FL 32960
Address
20535 Northwest 2nd Ave Suite 204
MIAMI GARDENS, FL 33619
Address
833 22nd St. S
SAINT PETERSBURG, FL 33712
Address
4700 Millenia Blvd Suite 175
ORLANDO, FL 32839
Address
4313 South Florida Ave. 1028
LAKELAND, FL 33813
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
KING, TAYLOR Subordinate Mental Health Counselor Intern 26470 4/22/2025
LAWS, KIMMOY KISHA Subordinate Mental Health Counselor Intern 25194 12/20/2023
MASSENGALE, MELINDA FAYE Subordinate Mental Health Counselor Intern 22879 8/23/2022
MOORE, ROSALYN Subordinate Mental Health Counselor Intern 27382 4/2/2025
NORTHERN, VONIELLE Subordinate Mental Health Counselor Intern 22454 4/14/2022

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 10/6/2026



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.