Provider Demographics
NPI:1760585004
Name:MESCAVAGE, ALEXANDER ANTHONY II (PHD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:ANTHONY
Last Name:MESCAVAGE
Suffix:II
Gender:M
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 HILLCREST ST,,
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-4900
Mailing Address - Country:US
Mailing Address - Phone:407-894-6980
Mailing Address - Fax:407-894-6982
Practice Address - Street 1:2316 HILLCREST ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4900
Practice Address - Country:US
Practice Address - Phone:407-894-6980
Practice Address - Fax:407-894-6982
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3219101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health