Provider Demographics
NPI:1205343027
Name:SINGH, ALISHA WENDY (LMHC)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:WENDY
Last Name:SINGH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 9TH WAY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-6617
Mailing Address - Country:US
Mailing Address - Phone:561-512-0201
Mailing Address - Fax:
Practice Address - Street 1:2500 QUANTUM LAKES DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8324
Practice Address - Country:US
Practice Address - Phone:561-512-0201
Practice Address - Fax:888-920-2112
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-02
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
FLMH15383101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor