1558018515 NPI number — MISS ALANA NOEL CHANDLER MS, LPC, ATR

Table of content: MISS ALANA NOEL CHANDLER MS, LPC, ATR (NPI 1558018515)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558018515 NPI number — MISS ALANA NOEL CHANDLER MS, LPC, ATR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHANDLER
Provider First Name:
ALANA
Provider Middle Name:
NOEL
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
MS, LPC, ATR
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558018515
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6367 KRISTY STAR LANE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MECHANICSVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23111
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-681-6451
Provider Business Mailing Address Fax Number:
540-322-1847

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2008 BREMO ROAD
Provider Second Line Business Practice Location Address:
SUITE 111
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-918-1115
Provider Business Practice Location Address Fax Number:
949-577-4105
Provider Enumeration Date:
03/09/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  0701011261 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 221700000X , with the licence number: 19-488 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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