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NPI Code Detail

MEDICARE: ELISSA LYNN SANDERS LPC

MEDICARE: ELISSA LYNN SANDERS LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC004797GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
211878515OTHERCAQH PROVIDER ID
3424748OTHERMHN PROVIDER ID

General Provider Information

NPI Number : 1285886374
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISSA LYNN SANDERS LPC
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 ALTMORE AVE STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30342-2495
Country : US
Telephone Number : 678-426-2930
Fax Number : 404-256-2795
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2008
Last Update Date : 04/27/2026

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Directions to “ ELISSA LYNN SANDERS LPC” Practice Location

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