Healthcare Provider Details

I. General information

NPI: 1861349755
Provider Name (Legal Business Name): ALAINA MARIE BISHOP MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8225 FL-54
TRINITY FL
34655
US

IV. Provider business mailing address

11357 120TH TER
LARGO FL
33778-2534
US

V. Phone/Fax

Practice location:
  • Phone: 813-575-0570
  • Fax:
Mailing address:
  • Phone: 727-422-0396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH25445
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: