Healthcare Provider Details

I. General information

NPI: 1669251237
Provider Name (Legal Business Name): ALEXA VRIONIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 09/25/2023
Certification Date: 09/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 SE 6TH AVE UNIT 200
DELRAY BEACH FL
33483-5306
US

IV. Provider business mailing address

6379 TOULON DR
BOCA RATON FL
33433-3801
US

V. Phone/Fax

Practice location:
  • Phone: 813-895-0896
  • Fax:
Mailing address:
  • Phone: 813-895-0896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number20160
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: