Provider Demographics
NPI:1003674938
Name:ABICHANDANI, SHEILA (MA LPC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:ABICHANDANI
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 W SOUTH BOULDER RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-8951
Mailing Address - Country:US
Mailing Address - Phone:805-729-4240
Mailing Address - Fax:
Practice Address - Street 1:1120 W SOUTH BOULDER RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-8951
Practice Address - Country:US
Practice Address - Phone:805-729-4240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC0018257101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health