Basic Information
Provider Information
NPI: 1386872356
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALVAREZ
FirstName: CYNTHIA
MiddleName: VALERIA
NamePrefix:  
NameSuffix:  
Credential: LMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5511 SW 8TH ST
Address2:  
City: CORAL GABLES
State: FL
PostalCode: 331342272
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 5511 SW 8TH ST
Address2:  
City: CORAL GABLES
State: FL
PostalCode: 331342272
CountryCode: US
TelephoneNumber: 9543411022
FaxNumber: 0543411082
Other Information
ProviderEnumerationDate: 06/29/2009
LastUpdateDate: 06/29/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XMH9921FLY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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