Healthcare Provider Details

I. General information

NPI: 1548070113
Provider Name (Legal Business Name): ENRIQUE SANCHEZ MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3071 E FRANKLIN RD
MERIDIAN ID
83642-2376
US

IV. Provider business mailing address

3071 E FRANKLIN RD STE 201
MERIDIAN ID
83642-2376
US

V. Phone/Fax

Practice location:
  • Phone: 208-807-2877
  • Fax: 208-807-2888
Mailing address:
  • Phone: 208-807-2877
  • Fax: 208-807-2888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5371049
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: