Provider Demographics
NPI:1225381247
Name:ALAZRACHI, DANIELA (MSW)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:ALAZRACHI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3545 MAGELLAN CIR APT 351
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3719
Mailing Address - Country:US
Mailing Address - Phone:786-325-6134
Mailing Address - Fax:
Practice Address - Street 1:3545 MAGELLAN CIR APT 351
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3719
Practice Address - Country:US
Practice Address - Phone:786-325-6134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW 5756101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health