Provider Demographics
NPI:1063130987
Name:ALEXANDRE, ERLANDE DEMORIN (MHCI)
Entity type:Individual
Prefix:
First Name:ERLANDE
Middle Name:DEMORIN
Last Name:ALEXANDRE
Suffix:
Gender:F
Credentials:MHCI
Other - Prefix:
Other - First Name:ERLANDE
Other - Middle Name:D
Other - Last Name:ALEXANDRE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1873 SCRUB JAY RD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-1689
Mailing Address - Country:US
Mailing Address - Phone:407-301-6214
Mailing Address - Fax:
Practice Address - Street 1:1873 SCRUB JAY RD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-1689
Practice Address - Country:US
Practice Address - Phone:407-301-6214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-16
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH23091101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health