Provider Demographics
NPI:1740200393
Name:GASTESI-DE ARMAS, ALINA (MA, MED, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ALINA
Middle Name:
Last Name:GASTESI-DE ARMAS
Suffix:
Gender:F
Credentials:MA, MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 MAIN ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3675
Mailing Address - Country:US
Mailing Address - Phone:954-384-9373
Mailing Address - Fax:
Practice Address - Street 1:1730 MAIN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3675
Practice Address - Country:US
Practice Address - Phone:954-384-9373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5665101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ1941Medicare UPIN