Alexandra Altilio | Brandon, FL • PECOS Search

Alexandra Altilio

Counselor

Behavioral Health & Social Service Providers

1463 Oakfield Dr, Suite 113, Brandon, FL 33511-3899

PECOS Enrollment

Based on the most recent information from CMS, provider Alexandra Altilio does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:06 AM.

Profile Details

Provider ID
1043574346
Provider Type
Individual
Full Name
Altilio, Alexandra
Credential
LMHC, NCC

Gender
Female
Sole Proprietor
No
Enumeration Date
7/2/2012
Last Updated
7/2/2012

Contact Information

Practice Location

1463 Oakfield Dr, Suite 113, Brandon, FL 33511-3899

(813) 479-0425

Mailing Location

4422 E Columbus Dr, Tampa, FL 33605-3233

(813) 479-0425

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 11182 Florida