Alexandrea Defelice
Counselor, Mental Health in Revere, Massachusetts
1215211586- Practice location
- 97 Marshall St, Revere, MA 02151-1828
- Phone
- 978-758-3704
- Fax
- —
- Last updated
- April 18, 2023
Alexandrea Defelice is a Counselor, Mental Health based in Revere, MA. Alexandrea Defelice practices in Revere, MA. The NPI Number for Alexandrea Defelice is 1215211586 and holds a License No. 12250-MH-CC (MA). The current practice location address for Alexandrea Defelice is 97 Marshall St, Revere, MA 02151-1828 and can be reached out via phone at 978-758-3704.
Provider Profile Details
- NPI Number
- 1215211586
- Provider Name
- Alexandrea Defelice
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 97 Marshall St, Revere, MA 02151-1828
- Phone Number
- 978-758-3704
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 5, 2011
- Last Update Date
- April 18, 2023
- Certification Date
- April 18, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 97 Marshall St
Revere, MA 02151-1828 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-1828
- Phone Number
- 978-758-3704
Provider Business Mailing Address Details
- Address
- 97 Marshall St
Revere, MA 02151-1828 - City
- Revere
- State
- MA
- Zip
- 02151-1828
- Phone Number
- 978-758-3704
License Information
- Taxonomy (1)
- Counselor · 101Y00000X
- License Number (2)
- 12250-MH-CC
- License State (2)
- MA
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Alexandrea Defelice?
The NPI number of Alexandrea Defelice is 1215211586. It was assigned on October 5, 2011 and is currently active in the NPPES registry.
What is the specialty of Alexandrea Defelice?
Alexandrea Defelice is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 12250-MH-CC.
Where does Alexandrea Defelice practice?
The practice location is 97 Marshall St, Revere, MA 02151-1828. The office can be reached at 978-758-3704 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215211586 directly on the NPPES registry website.