Healthcare Provider Details

I. General information

NPI: 1205343027
Provider Name (Legal Business Name): ALISHA WENDY SINGH LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2018
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 QUANTUM LAKES DR
BOYNTON BEACH FL
33426-8324
US

IV. Provider business mailing address

2500 QUANTUM LAKES DR STE 203
BOYNTON BEACH FL
33426-8323
US

V. Phone/Fax

Practice location:
  • Phone: 561-512-0201
  • Fax: 888-920-2112
Mailing address:
  • Phone: 561-678-2015
  • Fax: 888-920-2112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH15383
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701013942
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: