Healthcare Provider Details

I. General information

NPI: 1265812051
Provider Name (Legal Business Name): GALEN SANCHEZ LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2015
Last Update Date: 12/28/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 YALE BLVD NE
ALBUQUERQUE NM
87106-3825
US

IV. Provider business mailing address

PO BOX 28361
SANTA FE NM
87592-8361
US

V. Phone/Fax

Practice location:
  • Phone: 505-925-6737
  • Fax: 505-272-1940
Mailing address:
  • Phone: 505-470-6403
  • Fax: 505-272-1940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0168791
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: