Provider Demographics
NPI:1932093366
Name:SANCHEZ, YANIRA ERLYN
Entity type:Individual
Prefix:
First Name:YANIRA
Middle Name:ERLYN
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 555 HIGH STREET STE 9
Mailing Address - Street 2:
Mailing Address - City:MT. HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-5150
Mailing Address - Country:US
Mailing Address - Phone:203-805-8514
Mailing Address - Fax:
Practice Address - Street 1:LEGACY COUNSELING, LLC #1045, 555 HIGH STREET STE 9
Practice Address - Street 2:
Practice Address - City:MT. HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060
Practice Address - Country:US
Practice Address - Phone:732-672-9051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07271700104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker