Healthcare Provider Details

I. General information

NPI: 1760308357
Provider Name (Legal Business Name): ALEX B SAINT-JEAN MS, RMHCI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1038 SW BARBAROSA AVE
PORT ST LUCIE FL
34953-3426
US

IV. Provider business mailing address

1038 SW BARBAROSA AVE
PORT ST LUCIE FL
34953-3426
US

V. Phone/Fax

Practice location:
  • Phone: 772-626-1685
  • Fax:
Mailing address:
  • Phone: 772-626-1685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH29434
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: