Healthcare Provider Details

I. General information

NPI: 1013474527
Provider Name (Legal Business Name): XIOMARA SANCHEZ MHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2019
Last Update Date: 02/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 S ORANGE BLOSSOM TRL STE 402
ORLANDO FL
32809-5734
US

IV. Provider business mailing address

PO BOX 678124
ORLANDO FL
32867-8124
US

V. Phone/Fax

Practice location:
  • Phone: 407-382-9079
  • Fax:
Mailing address:
  • Phone: 787-224-7288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: