Provider Demographics
NPI:1699175265
Name:LOPEZ, ALEX (LMHC)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:568 SE VILLANDRY WAY
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-6683
Mailing Address - Country:US
Mailing Address - Phone:772-203-1313
Mailing Address - Fax:
Practice Address - Street 1:1639 FORUM PLACE SUITE 7
Practice Address - Street 2:MULTILINGUAL PSYCHOTHERAPY CENTERS, INC.
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401
Practice Address - Country:US
Practice Address - Phone:561-712-8821
Practice Address - Fax:561-712-8070
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17033101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health