Provider Demographics
NPI:1669177937
Name:SADLER-BRIDGES WELLNESS GROUP
Entity type:Organization
Organization Name:SADLER-BRIDGES WELLNESS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SADLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, NCC, LPC,LMHC
Authorized Official - Phone:214-801-0152
Mailing Address - Street 1:3500 NE MEADOW WAY
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-3613
Mailing Address - Country:US
Mailing Address - Phone:214-801-0152
Mailing Address - Fax:
Practice Address - Street 1:3500 NE MEADOW WAY
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-3613
Practice Address - Country:US
Practice Address - Phone:214-801-0152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty