Provider Demographics
NPI:1245100155
Name:SANDERS & CO PSS
Entity type:Organization
Organization Name:SANDERS & CO PSS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MR.
Authorized Official - Prefix:
Authorized Official - First Name:MARKEE
Authorized Official - Middle Name:DIONTA
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-902-2324
Mailing Address - Street 1:1115 LILY GREEN CT NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-2300
Mailing Address - Country:US
Mailing Address - Phone:336-902-2324
Mailing Address - Fax:
Practice Address - Street 1:1115 LILY GREEN CT NW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-2300
Practice Address - Country:US
Practice Address - Phone:336-902-2324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health