Provider Demographics
NPI:1235505819
Name:ALVES, ROBERTA (LMHC)
Entity Type:Individual
Prefix:
First Name:ROBERTA
Middle Name:
Last Name:ALVES
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 1:4800 BAYVIEW DR
Mailing Address - Street 2:APT. 501
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4900
Mailing Address - Country:US
Mailing Address - Phone:954-393-2930
Mailing Address - Fax:
Practice Address - Street 1:101 NE 3RD AVE STE 1500
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-1181
Practice Address - Country:US
Practice Address - Phone:954-526-4006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 13397101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health