Provider Demographics
NPI:1659933828
Name:JAMES SAUNDERS, SANDRA MICHELLE (LCSW-A)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:MICHELLE
Last Name:JAMES SAUNDERS
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 CONIFER CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-3130
Mailing Address - Country:US
Mailing Address - Phone:785-979-0355
Mailing Address - Fax:
Practice Address - Street 1:830 SUMMIT CROSSING PL
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2192
Practice Address - Country:US
Practice Address - Phone:704-917-7610
Practice Address - Fax:704-917-7615
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-08
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0134181041C0700X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health