Healthcare Provider Details

I. General information

NPI: 1558018515
Provider Name (Legal Business Name): ALANA NOEL CHANDLER MS, LPC, ATR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2022
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2008 BREMO ROAD SUITE 111
RICHMOND VA
23226
US

IV. Provider business mailing address

6367 KRISTY STAR LANE
MECHANICSVILLE VA
23111
US

V. Phone/Fax

Practice location:
  • Phone: 804-918-1115
  • Fax: 949-577-4105
Mailing address:
  • Phone: 419-681-6451
  • Fax: 540-322-1847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701011261
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number19-488
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: