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ALEXANDRA PETTAS
NPI 1104607357
Counselor - Mental Health in Boca Raton, FL

Active since October 12, 2023
9525 EVERGLADES PARK LN, BOCA RATON, FL 33428(347) 668-8310 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Alexandra Pettas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA PETTAS (NPI 1104607357) is an individual mental health provider in Boca Raton, Florida, licensed in Florida (IMH24809) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1104607357
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALEXANDRA PETTAS
Location Address9525 EVERGLADES PARK LNBoca Raton, FL 33428-2937
Mailing Address9525 Everglades Park LnBoca Raton, FL 33428-2937 · (347) 668-8310
Phone(347) 668-8310
Sole ProprietorYes
Enumeration DateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1104607357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · IMH24809
9525 EVERGLADES PARK LN, Boca Raton, FL 33428
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Pettas's NPI number?

The NPI number for Alexandra Pettas is 1104607357. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Where is Alexandra Pettas located?

Alexandra Pettas practices at 9525 Everglades Park Ln, Boca Raton, FL 33428. The listed phone number is (347) 668-8310.

What is Alexandra Pettas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Alexandra Pettas was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.