ALTAGRACE LINDSAY GUSTAVE NPI 1619642519

NPI Information

  • NPI: 1619642519
  • Provider Name: ALTAGRACE LINDSAY GUSTAVE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2780 SW 37TH AVE STE 206
    COCONUT GROVE, FL
    ZIP 33133
  • Phone: (305) 646-0112

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NPI Details

Altagrace Lindsay Gustave is a mental health counselor in Coconut Grove, FL. Altagrace Lindsay Gustave NPI is 1619642519. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2780 SW 37TH AVE STE 206
COCONUT GROVE, FL
ZIP 33133-740
Phone: (305) 646-0112

The NPI 1619642519 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/12/2021 and was last updated on 8/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthIMH18061No
2101YM0800XCounselorMental HealthMH22040FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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