Provider Demographics
NPI:1861868507
Name:SANCHEZ, LIZBETH LORRAINE (BS)
Entity type:Individual
Prefix:
First Name:LIZBETH
Middle Name:LORRAINE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14359 QUEENSIDE ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-4261
Mailing Address - Country:US
Mailing Address - Phone:407-286-0089
Mailing Address - Fax:
Practice Address - Street 1:14359 QUEENSIDE ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-4261
Practice Address - Country:US
Practice Address - Phone:407-286-0089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health