Individual provider · NPI-1

Miranda Alexander

Marriage & Family Therapist · Port St Lucie, FL

NPI number1497522916
StatusActive
Last updated in NPPESAug 27, 2024

Details

NPI
1497522916
Entity type
Individual (NPI-1)
Name
Miranda Alexander
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 5, 2023
Certification date
Aug 27, 2024
Last updated
Aug 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist––Yes
101YM0800X Counselor, Mental Health––

Practice location

590 Nw Peacock Blvd Ste 1
Port St Lucie, FL 34986-2213

Phone 772-348-0900

Mailing address

151 Sw Palm Dr Apt 208
Port Saint Lucie, FL 34986-1795

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