Provider Demographics
NPI:1225420045
Name:MIHALAKOS, ALEXANDRA (LMHC)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:MIHALAKOS
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 1:924 N MAGNOLIA AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-3849
Mailing Address - Country:US
Mailing Address - Phone:407-559-8392
Mailing Address - Fax:407-550-7407
Practice Address - Street 1:924 N MAGNOLIA AVE STE 250
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3849
Practice Address - Country:US
Practice Address - Phone:407-559-8392
Practice Address - Fax:407-550-7407
Is Sole Proprietor?:No
Enumeration Date:2015-03-03
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13089101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017223100Medicaid
FLN/AMedicare PIN