Healthcare Provider Details

I. General information

NPI: 1194669846
Provider Name (Legal Business Name): ALEXANDRA SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 HYPERION AVE
LOS ANGELES CA
90027-4711
US

IV. Provider business mailing address

16 E HAMPTON RD
MARLBOROUGH CT
06447-9992
US

V. Phone/Fax

Practice location:
  • Phone: 800-726-3890
  • Fax:
Mailing address:
  • Phone: 860-759-9412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT146136
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: