Healthcare Provider Details

I. General information

NPI: 1043184419
Provider Name (Legal Business Name): SARA ANN CHANDLER LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 MALTBY ROAD SUITE 7 PMB111
BOTHELL WA
98021
US

IV. Provider business mailing address

2225 W WELLESLEY AVE, STE 103 PMB 4092
SPOKANE WA
99205
US

V. Phone/Fax

Practice location:
  • Phone: 206-858-1177
  • Fax: 206-913-2369
Mailing address:
  • Phone: 425-923-9667
  • Fax: 425-821-0313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC70038930
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: