Provider Demographics
NPI:1104796275
Name:LUNDGREEN, ALEXA (LMSW)
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:
Last Name:LUNDGREEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3634 GLENN LAKES LN STE 244
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5521
Mailing Address - Country:US
Mailing Address - Phone:832-324-2592
Mailing Address - Fax:
Practice Address - Street 1:3634 GLENN LAKES LN STE 244
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5521
Practice Address - Country:US
Practice Address - Phone:832-324-2592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1173431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical