Healthcare Provider Details

I. General information

NPI: 1992304109
Provider Name (Legal Business Name): LILIANA ISABEL SANCHEZ LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2020
Last Update Date: 10/19/2020
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7122 STONEWALL HL
SAN ANTONIO TX
78256-1926
US

IV. Provider business mailing address

6115 RIO OLMOS PASS
SAN ANTONIO TX
78247-4454
US

V. Phone/Fax

Practice location:
  • Phone: 210-404-9696
  • Fax: 210-404-9466
Mailing address:
  • Phone: 210-414-8224
  • Fax: 210-409-9466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number81577
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: