Provider Demographics
NPI:1518573898
Name:ALEXANDRE, MICHAELLE J (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MICHAELLE
Middle Name:J
Last Name:ALEXANDRE
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 1:12030 SW 129TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4583
Mailing Address - Country:US
Mailing Address - Phone:407-232-4380
Mailing Address - Fax:
Practice Address - Street 1:12030 SW 129TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4583
Practice Address - Country:US
Practice Address - Phone:407-232-4380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-22
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH100822101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor