Provider Demographics
NPI:1790452571
Name:SAAVEDRA, ALEJANDRA (LMHC)
Entity Type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:ALEJANDRA
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:814 SW 158TH LN
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2118
Mailing Address - Country:US
Mailing Address - Phone:954-245-7609
Mailing Address - Fax:
Practice Address - Street 1:2863 EXECUTIVE PARK DR STE 106
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3647
Practice Address - Country:US
Practice Address - Phone:954-769-1285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH19658101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health