Provider Demographics
NPI:1447594957
Name:VELAZQUEZ-SANCHEZ, ERIC (LMHC, NCC)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:VELAZQUEZ-SANCHEZ
Suffix:
Gender:M
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 PINE HILL RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10930-3425
Mailing Address - Country:US
Mailing Address - Phone:718-844-1883
Mailing Address - Fax:
Practice Address - Street 1:112 PINE HILL RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND MILLS
Practice Address - State:NY
Practice Address - Zip Code:10930-3425
Practice Address - Country:US
Practice Address - Phone:718-844-1883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-21
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007331101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor