Basic Information
| Provider Information | |||||||||
| NPI: | 1053814889 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SANCHEZ | ||||||||
| FirstName: | SYLVERIA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3100 COMANCHE GAP RD | ||||||||
| Address2: | |||||||||
| City: | HARKER HEIGHTS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 765488923 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5453599982 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 E AVENUE A | ||||||||
| Address2: | |||||||||
| City: | KILLEEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 765414763 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2545264146 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/18/2018 | ||||||||
| LastUpdateDate: | 03/18/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 74962 | TX | N | Behavioral Health & Social Service Providers | Counselor | 101YM0800X | 74962 | TX | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | 74962 | TX | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.