| Lesley D. Alfonso, Lmhc, P.a. | |
|
10406 Taft St Pembroke Pines FL 33026-2819 | |
| (954) 436-3880 | |
| (954) 436-3881 |
| Full Name | Lesley D. Alfonso, Lmhc, P.a. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10406 Taft St, Pembroke Pines, Florida |
| Authorized Official Name and Position | Lesley Dennisse Alfonso (PRESIDENT) |
| Authorized Official Contact | 9544363880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lesley D. Alfonso, Lmhc, P.a. 10406 Taft St Pembroke Pines FL 33026-2819 Ph: (954) 436-3880 | Lesley D. Alfonso, Lmhc, P.a. 10406 Taft St Pembroke Pines FL 33026-2819 Ph: (954) 436-3880 |
| NPI Number | 1194250639 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 04/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194250639 | NPI | - | NPPES |
| 014019800 | Medicaid | FL | |
| 013846800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH6643 (Florida) | Primary |
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