Provider Demographics
NPI:1851067359
Name:FLORES ALVAREZ, JULIETA
Entity Type:Individual
Prefix:
First Name:JULIETA
Middle Name:
Last Name:FLORES ALVAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 GARONNE WAY
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7164
Mailing Address - Country:US
Mailing Address - Phone:678-207-9708
Mailing Address - Fax:
Practice Address - Street 1:2964 PEACHTREE RD NW STE 760
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2220
Practice Address - Country:US
Practice Address - Phone:404-436-1196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist