Mandy Alicea, LPC
Counselor, Mental Health in Mansfield, TX. Individual provider (NPI-1).
NPI number1346009610
StatusActive
Last updated in NPPESMar 18, 2024
Details
- NPI
- 1346009610
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mandy Alicea
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 18, 2024
- Certification date
- Mar 18, 2024
- Last updated
- Mar 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 86132 | TX | Yes |
Practice location
601 Strada Cir # 109Mansfield, TX 76063-3212
Phone 817-405-4008
Mailing address
4606 Sailboat DrMansfield, TX 76063-6745
Phone 817-808-6508
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