Individual provider · NPI-1

Dr. Aliris Alicea, LMHC, CCMHC, NCC

Counselor, Mental Health · Lakeland, FL

NPI number1407099526
StatusActive
Last updated in NPPESJul 29, 2025

Details

NPI
1407099526
Entity type
Individual (NPI-1)
Name
Dr. Aliris Alicea
Credential
LMHC, CCMHC, NCC
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 20, 2009
Certification date
Jul 29, 2025
Last updated
Jul 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health12095FLYes
101YP2500X Counselor, Professional2133PR
101YP2500X Counselor, Professional6810CT
101YP2500X Counselor, Professional37PC00837800NJ

Practice location

1813 Via Lago Dr
Lakeland, FL 33810-2418

Phone 407-603-6460

Mailing address

1201 1st St S
Winter Haven, FL 33880-3904

Phone 863-294-7062

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