Provider Demographics
NPI:1861874984
Name:RECARTE, IXTZEL (LPC)
Entity type:Individual
Prefix:
First Name:IXTZEL
Middle Name:
Last Name:RECARTE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13606 CANTERBURY CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-7277
Mailing Address - Country:US
Mailing Address - Phone:305-484-8509
Mailing Address - Fax:
Practice Address - Street 1:10720 CARIBBEAN BLVD
Practice Address - Street 2:SUITE 420
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189
Practice Address - Country:US
Practice Address - Phone:786-293-9544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-25
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health