Provider Demographics
NPI:1336270693
Name:ALTAMIRANO, ALMA SANCHEZ (LPC)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:SANCHEZ
Last Name:ALTAMIRANO
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:PO BOX 220915
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79913-2915
Mailing Address - Country:US
Mailing Address - Phone:915-833-8719
Mailing Address - Fax:915-822-9076
Practice Address - Street 1:6420 ESCONDIDO DR
Practice Address - Street 2:STE 1
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-2977
Practice Address - Country:US
Practice Address - Phone:915-833-8719
Practice Address - Fax:915-822-9076
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13735101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151679101Medicaid
TX5355LCOtherBLUE CROSS BLUE SHIELD