Provider Demographics
NPI:1144546342
Name:SANCHEZ, LAURA E (LPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:E
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:E
Other - Last Name:NEIMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1577 PEARL ST STE 100
Mailing Address - Street 2:OPHELIA'S PLACE
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4031
Mailing Address - Country:US
Mailing Address - Phone:541-284-4333
Mailing Address - Fax:
Practice Address - Street 1:1577 PEARL ST STE 100
Practice Address - Street 2:OPHELIA'S PLACE
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4031
Practice Address - Country:US
Practice Address - Phone:541-284-4333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007025938101YP2500X
ORC3046101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional