Healthcare Provider Details

I. General information

NPI: 1841110780
Provider Name (Legal Business Name): EILEEN SANCHEZ LMHC
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E INDIANA AVE STE C
DELAND FL
32724-4341
US

IV. Provider business mailing address

125 E INDIANA AVE STE C
DELAND FL
32724-4341
US

V. Phone/Fax

Practice location:
  • Phone: 407-900-9565
  • Fax:
Mailing address:
  • Phone: 407-502-2294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27641
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: