Healthcare Provider Details

I. General information

NPI: 1528370194
Provider Name (Legal Business Name): ALEXANDRA MORERA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2010
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 SW 27TH AVE SUITE G20
MIAMI FL
33135-3031
US

IV. Provider business mailing address

1279 NE 98TH ST
MIAMI SHORES FL
33138-2562
US

V. Phone/Fax

Practice location:
  • Phone: 305-643-7800
  • Fax: 305-643-1345
Mailing address:
  • Phone: 786-325-4998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: