Healthcare Provider Details

I. General information

NPI: 1649152588
Provider Name (Legal Business Name): ALEXIA SOFIA DASILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1565 N MAIN ST STE 205
FALL RIVER MA
02720-2972
US

IV. Provider business mailing address

636 ALLEN ST
NEW BEDFORD MA
02740-1307
US

V. Phone/Fax

Practice location:
  • Phone: 508-324-0328
  • Fax: 508-672-3619
Mailing address:
  • Phone: 508-965-2386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: