Provider Demographics
NPI:1629298765
Name:SANCHEZ, MICHELLE EVETTE (BA)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:EVETTE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 LAUREL LAKE CT
Mailing Address - Street 2:202
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-3223
Mailing Address - Country:US
Mailing Address - Phone:407-658-8278
Mailing Address - Fax:
Practice Address - Street 1:641 LAUREL LAKE CT
Practice Address - Street 2:202
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-3223
Practice Address - Country:US
Practice Address - Phone:407-658-8278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor