Provider Demographics
NPI:1770867467
Name:HENDRIX, ALANA KAY (LMFT)
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:KAY
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19321 GROVE COMMUNITY DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508-8113
Mailing Address - Country:US
Mailing Address - Phone:951-254-1539
Mailing Address - Fax:951-653-2001
Practice Address - Street 1:19321 GROVE COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92508-8113
Practice Address - Country:US
Practice Address - Phone:951-254-1539
Practice Address - Fax:951-653-2001
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC50048106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist