Provider Demographics
NPI:1982800256
Name:SALAS, ALINA T (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ALINA
Middle Name:T
Last Name:SALAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9732 S.W. 24TH STREET
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165
Mailing Address - Country:US
Mailing Address - Phone:305-630-9386
Mailing Address - Fax:
Practice Address - Street 1:9732 SW 24TH ST
Practice Address - Street 2:SUITE # 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7598
Practice Address - Country:US
Practice Address - Phone:305-630-9386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW5186101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor