Healthcare Provider Details
I. General information
NPI: 1558244590
Provider Name (Legal Business Name): ELIZABETH SANCHEZ LPC, LCDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/28/2025
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
524 N LINCOLN PARK RD
VAN ALSTYNE TX
75495-5012
US
IV. Provider business mailing address
103 CHARLESTON DR
ANNA TX
75409-5275
US
V. Phone/Fax
- Phone: 800-388-4601
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 16309 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 90868 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: