Healthcare Provider Details

I. General information

NPI: 1457052599
Provider Name (Legal Business Name): CLAUDIA GOMEZ ALVAREZ LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2285 W 80TH ST STE 7
HIALEAH FL
33016-5579
US

IV. Provider business mailing address

2285 W 80TH ST STE 7
HIALEAH FL
33016-5579
US

V. Phone/Fax

Practice location:
  • Phone: 786-355-5667
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH20801
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: