Provider Demographics
NPI:1710781240
Name:SANAMENTE COUNSELING CENTER LLC
Entity type:Organization
Organization Name:SANAMENTE COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:CRISTAL
Authorized Official - Middle Name:N
Authorized Official - Last Name:LOPEZ VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:939-585-7305
Mailing Address - Street 1:1654 CALLE TULIPAN STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6242
Mailing Address - Country:US
Mailing Address - Phone:939-585-7305
Mailing Address - Fax:
Practice Address - Street 1:1654 CALLE TULIPAN STE 100
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-6242
Practice Address - Country:US
Practice Address - Phone:939-585-7305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty