Provider Demographics
NPI:1013708445
Name:CHAMBERS, SANDRA ELAINE (PHD, LPCA)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:ELAINE
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:PHD, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 ACORN ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-1331
Mailing Address - Country:US
Mailing Address - Phone:347-784-2720
Mailing Address - Fax:
Practice Address - Street 1:90 RETREAT AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-2535
Practice Address - Country:US
Practice Address - Phone:347-784-2720
Practice Address - Fax:860-560-5850
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8347101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health