Provider Demographics
NPI:1861730400
Name:PIEDRAHITA, JOHN ALEXANDER (LMHC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ALEXANDER
Last Name:PIEDRAHITA
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 NW 106TH TER
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-3536
Mailing Address - Country:US
Mailing Address - Phone:786-343-4474
Mailing Address - Fax:
Practice Address - Street 1:1870 NW 106TH TER
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-3536
Practice Address - Country:US
Practice Address - Phone:786-343-4474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11418101YM0800X
FLMT4140106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist