Provider Demographics
NPI:1164932638
Name:SANCHEZ, ELISEO JR (LPC)
Entity Type:Individual
Prefix:
First Name:ELISEO
Middle Name:
Last Name:SANCHEZ
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 GLENORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-9537
Mailing Address - Country:US
Mailing Address - Phone:214-728-1174
Mailing Address - Fax:
Practice Address - Street 1:4050 GLENORCHARD DR
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-9537
Practice Address - Country:US
Practice Address - Phone:214-728-1174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health