Healthcare Provider Details

I. General information

NPI: 1700501327
Provider Name (Legal Business Name): MARGARITA RENE ALVAREZ LMHC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2022
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 OAKFIELD DR
BRANDON FL
33511-5714
US

IV. Provider business mailing address

615 OAKFIELD DR
BRANDON FL
33511-5714
US

V. Phone/Fax

Practice location:
  • Phone: 833-769-3524
  • Fax:
Mailing address:
  • Phone: 850-901-8323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH22286
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: