Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander Sullivan Provda, LMFT

Individual provider Mental Health Counselor · NPI 1962220483

Alexander Sullivan Provda, LMFT is a Mental Health Counselor in Oakland, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

5377 Locksley Ave
Oakland, CA 94618-1122
Phone: (510) 304-3328
Fax: (510) 654-4792
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Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 148702 (CA)

Record details

NPI number1962220483
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT
Sole proprietorNo
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

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