Provider Demographics
NPI:1407171416
Name:SAADEH, SHANNA MARTINDALE (LPC)
Entity Type:Individual
Prefix:
First Name:SHANNA
Middle Name:MARTINDALE
Last Name:SAADEH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHANNA
Other - Middle Name:
Other - Last Name:MARTINDALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9088 RIDGELINE BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2380
Mailing Address - Country:US
Mailing Address - Phone:720-515-2634
Mailing Address - Fax:
Practice Address - Street 1:9088 RIDGELINE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2380
Practice Address - Country:US
Practice Address - Phone:720-515-2634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X, 101Y00000X
COLPC.0013689101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor