Healthcare Provider Details

I. General information

NPI: 1699561092
Provider Name (Legal Business Name): JOSHUA SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 NEWLINVILLE RD
COATESVILLE PA
19320-4202
US

IV. Provider business mailing address

5 NEWLINVILLE RD
COATESVILLE PA
19320-4202
US

V. Phone/Fax

Practice location:
  • Phone: 302-722-5094
  • Fax:
Mailing address:
  • Phone: 302-722-5094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC020904
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMI0000520
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: