Provider Demographics
NPI:1376774711
Name:LAPLANTE, ALEXANDRA RENEE (LCSW)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:RENEE
Last Name:LAPLANTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 S RAINBOW BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-5343
Mailing Address - Country:US
Mailing Address - Phone:702-378-6092
Mailing Address - Fax:702-786-6911
Practice Address - Street 1:222 S RAINBOW BLVD STE 107
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-5343
Practice Address - Country:US
Practice Address - Phone:702-378-6092
Practice Address - Fax:702-786-6911
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7120-C1041C0700X
NV6032-S104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker