Healthcare Provider Details

I. General information

NPI: 1124047287
Provider Name (Legal Business Name): SONIA SADLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SONIA LORENZO

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 MAPLE AVE
MATHEWS VA
23109
US

IV. Provider business mailing address

PO BOX 1513
MATHEWS VA
23109
US

V. Phone/Fax

Practice location:
  • Phone: 804-725-9660
  • Fax:
Mailing address:
  • Phone: 804-725-9660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number1038424
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: