Provider Demographics
NPI:1497529374
Name:SANCHEZ, ALLANNAH E
Entity Type:Individual
Prefix:
First Name:ALLANNAH
Middle Name:E
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 1:8312 FATHOM CIR APT 809
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-3112
Mailing Address - Country:US
Mailing Address - Phone:915-777-2272
Mailing Address - Fax:
Practice Address - Street 1:8312 FATHOM CIR APT 809
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-3112
Practice Address - Country:US
Practice Address - Phone:915-777-2272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-10
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
TX93701101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional