Healthcare Provider Details

I. General information

NPI: 1205277548
Provider Name (Legal Business Name): ALLIANCE OF MENTAL HEALTH AND EDUCATION COUNSELILNG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 07/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 OAKWATER DR
ROYAL PALM BEACH FL
33411-6104
US

IV. Provider business mailing address

1106 OAKWATER DR
ROYAL PALM BEACH FL
33411-6104
US

V. Phone/Fax

Practice location:
  • Phone: 561-907-7454
  • Fax:
Mailing address:
  • Phone: 561-907-7454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH8932
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberMH8932
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License NumberMH8932
License Number StateFL

VIII. Authorized Official

Name: MRS. BELKIS CANDELIER
Title or Position: MANAGER
Credential: LMHC
Phone: 561-907-7454