Provider Demographics
NPI:1053062562
Name:CERVANTES, ALEJANDRA N/A (LMFT-A)
Entity Type:Individual
Prefix:MS
First Name:ALEJANDRA
Middle Name:N/A
Last Name:CERVANTES
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 W 21ST ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-3514
Mailing Address - Country:US
Mailing Address - Phone:936-213-0727
Mailing Address - Fax:
Practice Address - Street 1:810 W 21ST ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3514
Practice Address - Country:US
Practice Address - Phone:956-225-7076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-16
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203515106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist