Provider Demographics
NPI:1497050215
Name:ALVARADO, TANYA O (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:O
Last Name:ALVARADO
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 1:3662 AVALON PARK EAST BLVD
Mailing Address - Street 2:SUITE 2021
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7361
Mailing Address - Country:US
Mailing Address - Phone:407-476-5994
Mailing Address - Fax:
Practice Address - Street 1:3662 AVALON PARK EAST BLVD
Practice Address - Street 2:SUITE 2021
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7361
Practice Address - Country:US
Practice Address - Phone:407-476-5994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-26
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12229101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health