MICHELLE AUDREY SANDERS (NPI# 1770712291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770712291 |
| Entity Type | Individual |
| Full Name | MICHELLE AUDREY SANDERS |
| Other Name | MICHELLE AUDREY GLENETSKI |
| Credential | CMHC |
| Practice Address |
5689 S Redwood Rd Suite 27 Taylorsville UT 84123-5447 |
| Mailing Address |
1592 Spaulding Ln Pocatello ID 83201-2852 |
| Practice Telephone | 8012662485 |
| Practice Fax Number | 8666449206 |
| Mailing Telephone | 6082175089 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | PROFESSIONAL LICENSE | 7825382-6004 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1592 Spaulding Ln, Pocatello, ID 832012852 | 6082175089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902152804 | Michelle Sanders | Lactation Consultant, Non-RN | 9527 Kessler St, Overland Park, KS 66212-5056 | 2012-07-28 |
| 1417562265 | Michelle Dion Sanders | Counselor | 101 E Broadway Ave, Bismarck, ND 58501 | 2020-09-09 |
| 1265043822 | Michelle Lee Sanders | Nurse Practitioner | 750 Potomac St Ste 111, Aurora, CO 80011-6743 | 2020-08-16 |
| 1639703077 | Michelle Ashley Sanders | Behavior Technician | 904 Mountain Lion Cir Ste 500, Harker Heights, TX 76548-5725 | 2020-02-25 |
| 1083273668 | Michelle Kaylee Sanders | Behavior Technician | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2019-06-07 |
| 1508351354 | Michelle Amanda Sanders | Physical Therapist | 3700 Grant Dr, Reno, NV 89509-5474 | 2018-06-25 |
| 1548700123 | Michelle L Sanders | Nurse Practitioner | 3470 Blazer Pkwy, Suite 230, Lexington, KY 40509-1200 | 2017-03-02 |
| 1255790218 | Michelle Sanders | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2016-02-18 |
| 1578932745 | Michelle Sanders | Student in an Organized Health Care Education/Training Program | 3870 Rosin Ct, Suite 130, Sacramento, CA 95834-1620 | 2015-09-17 |
| 1053745000 | Michelle Sanders | Nurse Practitioner | 9301 N Central Expy, Suite 310, Dallas, TX 75231-0806 | 2013-08-27 |
| Street Address |
5689 S REDWOOD RD SUITE 27 |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84123-5447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332096 | Joshua Wayne Greep | Social Worker | 5689 S Redwood Rd, Taylorsville, UT 84123-5447 | 2020-10-05 |
| 1598282188 | Andrea R Gardner-young | Counselor | 5689 S Redwood Rd, Taylorsville, UT 84123-5447 | 2017-08-24 |
| 1144671884 | Derek James Smith | Student in an Organized Health Care Education/Training Program | 5689 S Redwood Rd, Suite 27, Taylorsville, UT 84123-5447 | 2016-06-23 |
| 1962865121 | Amy Feller | Counselor | 5689 S Redwood Rd, 4f, Taylorsville, UT 84123-5447 | 2016-04-04 |
| 1134580103 | Summit Community Counseling | Community/Behavioral Health | 5689 S Redwood Rd, Taylorsville, UT 84123-5447 | 2016-03-17 |
| 1326440371 | Kimberly England | Counselor | 5689 S Redwood Rd, Taylorsville, UT 84123-5447 | 2014-09-22 |
| 1851670772 | Meredith Safman | Social Worker | 5689 S Redwood Rd, #27, Taylorsville, UT 84123-5447 | 2011-08-09 |
| 1053555821 | Janet E. Hooper, Inc. | Social Worker | 5689 S Redwood Rd, #28-2, Taylorsville, UT 84123-5447 | 2009-04-23 |
| 1538331913 | Brian Cherry | Counselor | 5689 S Redwood Rd, Suite 27, Taylorsville, UT 84123-5447 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124666110 | Annie Jacobs | Counselor | 6210 S 3200 W, Taylorsville, UT 84129-6536 | 2019-12-20 |
| 1710520267 | Laura B Rodriguez | Counselor | 2880 W 4700 S Ste G1, Taylorsville, UT 84129-2156 | 2019-10-28 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1689198715 | Mind and Body Integration | Counselor | 4950 S 2475 W Ste 100, Taylorsville, UT 84129-1810 | 2017-07-31 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1346793999 | Shari Harwood Counseling | Counselor | 5681 S Redwood Rd Unit 24, Taylorsville, UT 84123-5484 | 2016-08-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1710354196 | Tina Annette Brady | Counselor | 6363 S Faust Way, Taylorsville, UT 84129-6359 | 2015-09-01 |
| 1013398817 | Clifford Simpson | Counselor | 4897 S Avant Cir, Taylorsville, UT 84129 | 2015-06-17 |
| 1578825519 | Justin Dean Gough | Counselor | 2904 Midwest Dr, Taylorsville, UT 84129-2555 | 2012-06-14 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 84123 |
Please comment or provide details below to improve the information on MICHELLE AUDREY SANDERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.