Healthcare Provider Details

I. General information

NPI: 1164370219
Provider Name (Legal Business Name): SIOBHAN CHANDLER LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14405 SE 36TH ST STE 300
BELLEVUE WA
98006-1588
US

IV. Provider business mailing address

30405 SE 84TH ST UNIT 236
PRESTON WA
98050-9804
US

V. Phone/Fax

Practice location:
  • Phone: 425-429-2450
  • Fax:
Mailing address:
  • Phone: 206-561-1126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: