Healthcare Provider Details

I. General information

NPI: 1144136680
Provider Name (Legal Business Name): ALEJANDRA MARQUEZ MOSQUERA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15834 NW 91ST CT
MIAMI LAKES FL
33018-6361
US

IV. Provider business mailing address

15834 NW 91ST CT
MIAMI LAKES FL
33018-6361
US

V. Phone/Fax

Practice location:
  • Phone: 650-660-1548
  • Fax:
Mailing address:
  • Phone: 650-660-1548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH28357
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: