Provider Demographics
NPI:1407520315
Name:SANCHEZ, CELESTE SARAHI
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:SARAHI
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9889 CYPRESSWOOD DR APT 5302
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3979
Mailing Address - Country:US
Mailing Address - Phone:281-902-7744
Mailing Address - Fax:
Practice Address - Street 1:8620 SPRING CYPRESS RD STE D
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3319
Practice Address - Country:US
Practice Address - Phone:855-789-7822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician