Provider Demographics
NPI:1720537418
Name:SANCHEZ, LUZ (BA)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:
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 1:3501 W VINE ST STE 273
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4673
Mailing Address - Country:US
Mailing Address - Phone:407-818-7201
Mailing Address - Fax:727-313-9253
Practice Address - Street 1:3501 W VINE ST STE 273
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4673
Practice Address - Country:US
Practice Address - Phone:407-818-7201
Practice Address - Fax:407-343-8289
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-23
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker