Healthcare Provider Details

I. General information

NPI: 1588399844
Provider Name (Legal Business Name): SARAH ADELE BICHIR APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2022
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N CENTRAL AVE STE 340
GLENDALE CA
91203-4238
US

IV. Provider business mailing address

1270 CORDOVA ST APT 2
PASADENA CA
91106-2612
US

V. Phone/Fax

Practice location:
  • Phone: 818-798-2452
  • Fax:
Mailing address:
  • Phone: 812-893-1478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number18486
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: