Provider Demographics
NPI:1326718305
Name:PALESCHIC, ALEXANDRIA MARIE (MA, RMHCI)
Entity Type:Individual
Prefix:MISS
First Name:ALEXANDRIA
Middle Name:MARIE
Last Name:PALESCHIC
Suffix:
Gender:F
Credentials:MA, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 NW 134TH WAY APT 302
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-3684
Mailing Address - Country:US
Mailing Address - Phone:352-538-2663
Mailing Address - Fax:
Practice Address - Street 1:475 NW 134TH WAY APT 302
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-3684
Practice Address - Country:US
Practice Address - Phone:352-538-2663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH20539101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health