MEDICARE: TAMIRA ALSTON LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH24072	FL

General Provider Information

NPI Number	:	1588173819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMIRA ALSTON LMHC

Provider Business Mailing Address
First Line	:	160 CYPRESS POINT PKWY STE B302
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-8443
Country	:	US
Telephone Number	:	386-319-9483
Fax Number	:	386-463-1030

Provider Business Practice Location Address
First Line	:	160 CYPRESS POINT PKWY STE B302
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-8443
Country	:	US
Telephone Number	:	386-319-9483
Fax Number	:	386-463-1030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2017
Last Update Date	:	11/21/2025

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Directions to “ TAMIRA ALSTON LMHC” Practice Location

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