Provider Demographics
NPI:1043591282
Name:BAR-CHAIM, ALIZA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ALIZA
Middle Name:
Last Name:BAR-CHAIM
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7497 LARGO WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-4949
Mailing Address - Country:US
Mailing Address - Phone:561-900-4273
Mailing Address - Fax:
Practice Address - Street 1:7497 LARGO WAY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-4949
Practice Address - Country:US
Practice Address - Phone:561-900-4273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPMH 1010101YM0800X
FLMH 12038101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health