Provider Demographics
NPI:1821626912
Name:SANCHEZ, BRIDGET (LMFT, LMFTA)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LMFT, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 N GREENE ST
Mailing Address - Street 2:
Mailing Address - City:SNOW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28580-1412
Mailing Address - Country:US
Mailing Address - Phone:252-747-2921
Mailing Address - Fax:252-747-2921
Practice Address - Street 1:302 N GREENE ST
Practice Address - Street 2:
Practice Address - City:SNOW HILL
Practice Address - State:NC
Practice Address - Zip Code:28580-1412
Practice Address - Country:US
Practice Address - Phone:252-747-2921
Practice Address - Fax:252-747-4915
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.001281106H00000X
NC12165A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist