Provider Demographics
NPI:1295006724
Name:ALEXANDER, PATRICE DENISE (LPC)
Entity Type:Individual
Prefix:
First Name:PATRICE
Middle Name:DENISE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4412 GLADEWOOD RUN
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30291-1148
Mailing Address - Country:US
Mailing Address - Phone:404-438-7736
Mailing Address - Fax:770-216-9609
Practice Address - Street 1:116 PEACHTREE CT STE A
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-4800
Practice Address - Country:US
Practice Address - Phone:770-703-5069
Practice Address - Fax:770-719-2368
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GALPC005498101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional