Acevedo, Alexis

Acevedo, Alexis is an individual health care provider with primary practice located at 159 20Th St Ste 1B , Brooklyn NY 11232-1254. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Acevedo, Alexis can be contacted via phone (646) 685-4422.

Contact Information

Primary practice address
159 20Th St Ste 1B Brooklyn NY 11232-1254
Phone: (646) 685-4422
Fax: (516) 218-7964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 008501 New York

Profile Details

NPI number 1073904975
LBN Legal business name Acevedo, Alexis
Credentials LMHC, CASAC-M
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2015
Last updated Oct 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073904975 NPPES
Other 133306195 ACT
MEDICAID 01764878 ACT

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