Healthcare Provider Details

I. General information

NPI: 1912420738
Provider Name (Legal Business Name): SANDRA LEHMANN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2017
Last Update Date: 05/26/2025
Certification Date: 05/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42104 N VENTURE DR # B-105
PHOENIX AZ
85086-3823
US

IV. Provider business mailing address

4435 WEST HOWER ROAD
PHOENIX AZ
85086
US

V. Phone/Fax

Practice location:
  • Phone: 602-345-0433
  • Fax: 480-674-7310
Mailing address:
  • Phone: 602-345-0433
  • Fax: 480-674-7310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC-14466
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLPC-14466
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-14466
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC14466
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC14466
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberLPC-14466
License Number StateAZ
# 7
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-14466
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: