Healthcare Provider Details

I. General information

NPI: 1699891275
Provider Name (Legal Business Name): LIGIA ALVARADO AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA LIGIA ALVARADO AMFT

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 W FLORIDA AVE STE D
HEMET CA
92543-4628
US

IV. Provider business mailing address

1011 E DEVONSHIRE AVE
HEMET CA
92543-3033
US

V. Phone/Fax

Practice location:
  • Phone: 951-358-4156
  • Fax:
Mailing address:
  • Phone: 951-746-8431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number112817
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number112817
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: