Provider Demographics
NPI:1588807648
Name:PEREZ-FERNANDEZ, MARIA DE LA ALHAMBRA (LMHC, LPC, LPC-MH)
Entity type:Individual
Prefix:
First Name:MARIA DE LA ALHAMBRA
Middle Name:
Last Name:PEREZ-FERNANDEZ
Suffix:
Gender:F
Credentials:LMHC, LPC, LPC-MH
Other - Prefix:
Other - First Name:MARIA DE LA ALHAMBRA
Other - Middle Name:
Other - Last Name:PEREZ-FERNANDEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC,LPC, LPC-MH
Mailing Address - Street 1:111 MORGAN AVE APT 1028
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-1014
Mailing Address - Country:US
Mailing Address - Phone:682-461-9037
Mailing Address - Fax:860-370-4109
Practice Address - Street 1:6500 GREENVILLE AVE STE 430
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-1014
Practice Address - Country:US
Practice Address - Phone:682-461-9037
Practice Address - Fax:860-370-4109
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-19
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH30831101YP2500X
FLLMHC10527101YP2500X
NCCCMHC258838101YP2500X
CTHYP0000564101YP2500X
CTLPC003700101YP2500X
NYLMHC007184101YP2500X
NMCTB-2023-0931101YP2500X
NJ37PC00973000101YP2500X
MALMHC7442101YP2500X, 101YM0800X
TXLPC95469101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003149600Medicaid