Healthcare Provider Details

I. General information

NPI: 1720774870
Provider Name (Legal Business Name): EMMA SADLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5808 MCLEOD RD NE STE L
ALBUQUERQUE NM
87109-2468
US

IV. Provider business mailing address

5808 MCLEOD RD NE STE L
ALBUQUERQUE NM
87109-2468
US

V. Phone/Fax

Practice location:
  • Phone: 302-276-8278
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC015356
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0011530
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2025-0691
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: