Provider Demographics
NPI:1689467201
Name:SANCHEZ, ALYSSA MAKAYLA (LMSW)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:MAKAYLA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5149 RICHARD AVE APT 2218
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-8717
Mailing Address - Country:US
Mailing Address - Phone:903-930-9827
Mailing Address - Fax:
Practice Address - Street 1:2620 GUS THOMASSON RD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-5415
Practice Address - Country:US
Practice Address - Phone:945-324-3951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110725104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker