Healthcare Provider Details

I. General information

NPI: 1316230501
Provider Name (Legal Business Name): GINEVRA CLARE SUTHERLAND SANCHEZ LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GINNY CLARE SANCHEZ LMHC,

II. Dates (important events)

Enumeration Date: 05/20/2011
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7108 LEONA ST NE
ALBUQUERQUE NM
87109-4829
US

IV. Provider business mailing address

7108 LEONA ST NE
ALBUQUERQUE NM
87109-4829
US

V. Phone/Fax

Practice location:
  • Phone: 505-554-9003
  • Fax:
Mailing address:
  • Phone: 505-554-9003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0130111
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number273771
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: