Provider Demographics
NPI:1184136723
Name:THERRIEN, ALEXANDRA (LMHC)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:
Last Name:THERRIEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 SW 3RD AVE APT 808
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-2057
Mailing Address - Country:US
Mailing Address - Phone:786-626-8176
Mailing Address - Fax:
Practice Address - Street 1:1725 N UNIVERSITY DR STE 350
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6000
Practice Address - Country:US
Practice Address - Phone:954-227-2700
Practice Address - Fax:954-227-2704
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-03
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14763101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health