Healthcare Provider Details

I. General information

NPI: 1205122835
Provider Name (Legal Business Name): NOELINA ALVAREZ MA, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2011
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11428 N 53RD ST
TAMPA FL
33617-2216
US

IV. Provider business mailing address

9100 S DADELAND BLVD STE 1500
MIAMI FL
33156-7816
US

V. Phone/Fax

Practice location:
  • Phone: 813-374-9416
  • Fax:
Mailing address:
  • Phone: 415-424-4266
  • Fax: 415-520-6633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH16428
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: