Basic Information
| Provider Information | |||||||||
| NPI: | 1699175265 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOPEZ | ||||||||
| FirstName: | ALEX | ||||||||
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| Credential: | MSC-MHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 276 MURCIA DR APT 308 | ||||||||
| Address2: | |||||||||
| City: | JUPITER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7874213977 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1639 FORUM PLACE SUITE 7 | ||||||||
| Address2: | MULTILINGUAL PSYCHOTHERAPY CENTERS, INC. | ||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5617128821 | ||||||||
| FaxNumber: | 5617128070 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2014 | ||||||||
| LastUpdateDate: | 09/02/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.