Provider Demographics
NPI:1891388112
Name:SANCHEZ, MICHAEL (LMFT)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4575 SW 68TH COURT CIR UNIT 104
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6819
Mailing Address - Country:US
Mailing Address - Phone:305-798-0138
Mailing Address - Fax:
Practice Address - Street 1:4575 SW 68TH COURT CIR UNIT 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6819
Practice Address - Country:US
Practice Address - Phone:305-798-0138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3441106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist