Provider Demographics
NPI:1083363667
Name:SANCHEZ, CARISA ELI (LMSW, CAC, LADC)
Entity Type:Individual
Prefix:MISS
First Name:CARISA
Middle Name:ELI
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LMSW, CAC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-4036
Mailing Address - Country:US
Mailing Address - Phone:860-643-3200
Mailing Address - Fax:
Practice Address - Street 1:1177 SILAS DEANE HWY STE 3
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-4332
Practice Address - Country:US
Practice Address - Phone:860-837-0401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1466101YA0400X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)