Provider Demographics
NPI:1881842284
Name:FLORES, SANDY (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:SANDY
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7228 MILAN HILLS RD NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-0838
Mailing Address - Country:US
Mailing Address - Phone:505-771-9428
Mailing Address - Fax:505-771-9428
Practice Address - Street 1:7228 MILAN HILLS RD NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-0838
Practice Address - Country:US
Practice Address - Phone:505-771-9428
Practice Address - Fax:505-771-9428
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2010-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT-0128571101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health