Provider Demographics
NPI:1467685453
Name:VELA, ALEXANDRA JEANNETTE (LMSW-IPR,CART)
Entity Type:Individual
Prefix:MISS
First Name:ALEXANDRA
Middle Name:JEANNETTE
Last Name:VELA
Suffix:
Gender:F
Credentials:LMSW-IPR,CART
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11902 HUECO TANKS DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7355
Mailing Address - Country:US
Mailing Address - Phone:832-338-9882
Mailing Address - Fax:
Practice Address - Street 1:11902 HUECO TANKS DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7355
Practice Address - Country:US
Practice Address - Phone:832-338-9882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX317501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical