Provider Demographics
NPI:1831340611
Name:JAMES, ALFRED E (LMHC)
Entity type:Individual
Prefix:
First Name:ALFRED
Middle Name:E
Last Name:JAMES
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:ALFRED
Other - Middle Name:
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:916 26TH STREET CT E
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-2661
Mailing Address - Country:US
Mailing Address - Phone:914-722-5789
Mailing Address - Fax:941-722-5789
Practice Address - Street 1:1314 2ND AVE W
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-4007
Practice Address - Country:US
Practice Address - Phone:914-722-5789
Practice Address - Fax:941-722-5789
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-09
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 7616101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health