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NPI Code Detail

MEDICARE: MRS. LECSYS L. ALONSO LMHC

MEDICARE: MRS. LECSYS L. ALONSO LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2101YM0800XMental Health Counselor9120FL

General Provider Information

NPI Number : 1952504482
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LECSYS L. ALONSO LMHC
Provider Business Mailing Address
First Line : 6391 SW 34TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33155-4924
Country : US
Telephone Number : 305-979-3003
Fax Number :
Provider Business Practice Location Address
First Line : 2141 SW 1ST ST STE 103
Second Line :
City : MIAMI
State : FL
Zip : 33135-1695
Country : US
Telephone Number : 305-644-6024
Fax Number : 305-644-6025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2007
Last Update Date : 02/14/2020

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