Provider Demographics
NPI:1699175265
Name:LOPEZ, ALEX (MSC-MHC)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:MSC-MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 MURCIA DR APT 308
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458
Mailing Address - Country:US
Mailing Address - Phone:787-421-3977
Mailing Address - Fax:
Practice Address - Street 1:1639 FORUM PLACE SUITE 7
Practice Address - Street 2:MULTILINGUAL PSYCHOTHERAPY CENTERS, INC.
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401
Practice Address - Country:US
Practice Address - Phone:561-712-8821
Practice Address - Fax:561-712-8070
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health