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Individual

MR. ALEXIS DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC, CBHCMS, ITDS

Contact information

Practice address
1550 MADRUGA AVE STE 509, CORAL GABLES, FL 33146-3048
(786) 536-9714
(786) 536-9833
Mailing address
1550 MADRUGA AVE STE 509, CORAL GABLES, FL 33146-3048
(786) 536-9714
(786) 536-9833

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH25016
FL
104100000X
Social Worker
222Q00000X
Developmental Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022190700
FL
05
125643500
FL
Enumeration date
05/14/2007
Last updated
05/05/2026
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