Provider Demographics
NPI:1285785873
Name:SANDAHL, CHALENA L (MS)
Entity type:Individual
Prefix:MS
First Name:CHALENA
Middle Name:L
Last Name:SANDAHL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:CHALENA
Other - Middle Name:L
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5561 S 48TH ST STE 232E
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4109
Mailing Address - Country:US
Mailing Address - Phone:402-450-6320
Mailing Address - Fax:
Practice Address - Street 1:5561 S 48TH ST STE 232E
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4109
Practice Address - Country:US
Practice Address - Phone:402-450-6320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE232101YM0800X
NE1261101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor