Provider Demographics
NPI:1871773945
Name:SANCHEZ, RICHARD GERARD (LPC)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:GERARD
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:RICARDO
Other - Middle Name:GERARDO
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:5001 NORTH TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332
Mailing Address - Country:US
Mailing Address - Phone:361-389-8807
Mailing Address - Fax:
Practice Address - Street 1:614 W FRONT ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-7112
Practice Address - Country:US
Practice Address - Phone:361-644-9587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61344101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1871773945Medicaid