Individual provider · Type 1 NPI

Altagrace Lindsay Gustave

Mental Health Counselor · Coconut Grove, FL

NPI number 1619642519 Active

Practice location

2780 SW 37th Ave Ste 206
Coconut Grove, FL 33133-2740

Mailing address

1175 NE 147th St
North Miami, FL 33161-2442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XIMH18061
Mental Health Counselor Primary 101YM0800XMH22040 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1619642519

Altagrace Lindsay Gustave's National Provider Identifier is 1619642519, issued on Aug 12, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coconut Grove, FL. The record was last updated on Aug 24, 2023.