Healthcare Provider Details

I. General information

NPI: 1366365504
Provider Name (Legal Business Name): CHANDLER SCHELP BETHELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5585 ERINDALE DR STE 204
COLORADO SPRINGS CO
80918-6969
US

IV. Provider business mailing address

545 S REED ST APT D206
LAKEWOOD CO
80226-3316
US

V. Phone/Fax

Practice location:
  • Phone: 719-345-2424
  • Fax:
Mailing address:
  • Phone: 901-299-2524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0022952
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: