Provider Demographics
NPI:1437510500
Name:ALEXANDER COUNSELING SERVICES
Entity Type:Organization
Organization Name:ALEXANDER COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC
Authorized Official - Phone:205-538-3099
Mailing Address - Street 1:300 OFFICE PARK DR STE 220
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2473
Mailing Address - Country:US
Mailing Address - Phone:205-538-3099
Mailing Address - Fax:205-994-2790
Practice Address - Street 1:300 OFFICE PARK DR STE 220
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2473
Practice Address - Country:US
Practice Address - Phone:205-538-3099
Practice Address - Fax:205-994-2790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2882101YP2500X
AL2339101YP2500X
AL0719C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty