Provider Demographics
NPI:1144467549
Name:GARCIA-SALCIDO, SANDRA LUZ (LPC)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:LUZ
Last Name:GARCIA-SALCIDO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:SANDRA
Other - Middle Name:LUZ
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3113 CRAZY HORSE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-2535
Mailing Address - Country:US
Mailing Address - Phone:915-740-6294
Mailing Address - Fax:877-606-9254
Practice Address - Street 1:9440 VISCOUNT BLVD
Practice Address - Street 2:SUITE 117
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7049
Practice Address - Country:US
Practice Address - Phone:915-740-6294
Practice Address - Fax:877-606-9254
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-07
Last Update Date:2013-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64611101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX9647LCOtherBLUE CROSS BLUE SHIELD
TX197678903Medicaid