Healthcare Provider Details

I. General information

NPI: 1952684706
Provider Name (Legal Business Name): MIRIAN NOEMA SANCHEZ LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 BETHESDA METRO CENTER SUITE 700
BETHESDA MD
20814
US

IV. Provider business mailing address

PO BOX 5473
WASHINGTON DC
20016-1073
US

V. Phone/Fax

Practice location:
  • Phone: 301-641-0136
  • Fax:
Mailing address:
  • Phone: 301-641-0136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC3918
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: