Healthcare Provider Details

I. General information

NPI: 1245143833
Provider Name (Legal Business Name): ALEJANDRA D. RIVAS M.A., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 BERKLEY RD
LAREDO TX
78045-2412
US

IV. Provider business mailing address

422 BERKLEY RD
LAREDO TX
78045-2412
US

V. Phone/Fax

Practice location:
  • Phone: 956-794-0227
  • Fax:
Mailing address:
  • Phone: 956-794-0227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number80586
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: