Provider Demographics
NPI:1730833096
Name:RIZO, SIXTA ALEJANDRA (MFT)
Entity type:Individual
Prefix:MRS
First Name:SIXTA
Middle Name:ALEJANDRA
Last Name:RIZO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MRS
Other - First Name:ALEJANDRA
Other - Middle Name:
Other - Last Name:RIZO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:16080 S POST RD APT 103
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3541
Mailing Address - Country:US
Mailing Address - Phone:954-279-0778
Mailing Address - Fax:
Practice Address - Street 1:16080 S POST RD APT 103
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3541
Practice Address - Country:US
Practice Address - Phone:954-279-0778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3985106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist