Provider Demographics
NPI:1871866905
Name:ALBERT, ALESSANDRA MENDES LEMOS
Entity Type:Individual
Prefix:
First Name:ALESSANDRA
Middle Name:MENDES LEMOS
Last Name:ALBERT
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 1:507 W NOLANA AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3029
Mailing Address - Country:US
Mailing Address - Phone:956-688-6229
Mailing Address - Fax:956-688-6218
Practice Address - Street 1:507 W NOLANA AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3029
Practice Address - Country:US
Practice Address - Phone:956-688-6229
Practice Address - Fax:956-688-6218
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63450101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional