Provider Demographics
NPI:1619288412
Name:TCAH, ALBERTO AVI (LMHC)
Entity Type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:AVI
Last Name:TCAH
Suffix:
Gender:M
Credentials:LMHC
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Mailing Address - Street 1:2650 SOUTH COURSE DRIVE
Mailing Address - Street 2:SUITE 503
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-3985
Mailing Address - Country:US
Mailing Address - Phone:954-422-2411
Mailing Address - Fax:954-984-4900
Practice Address - Street 1:915 MIDDLE RIVER DRIVE
Practice Address - Street 2:SUITE 204
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-3544
Practice Address - Country:US
Practice Address - Phone:954-566-0388
Practice Address - Fax:954-561-8331
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLMH10340101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health