Provider Demographics
NPI:1801187620
Name:SANCHEZ, PRISCILLA R (LPC)
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:R
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11106 DURHAM BND
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-5541
Mailing Address - Country:US
Mailing Address - Phone:210-771-1391
Mailing Address - Fax:
Practice Address - Street 1:225 E LOCUST ST
Practice Address - Street 2:BUILDING 2
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-3955
Practice Address - Country:US
Practice Address - Phone:210-878-9623
Practice Address - Fax:888-823-3497
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65491101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health