Individual
ALYSSA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 BELL TOWER LN STE 201, WESTON, FL 33326-3694
(954) 684-2915
Mailing address
12820 SW 19TH ST, MIAMI, FL 33175-1308
(786) 863-4702
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT5405
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
02/12/2026
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