Provider Demographics
NPI:1487207569
Name:SIMPSON, ALEXANDRIA MARIE (TLMHC)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:MARIE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:TLMHC
Other - Prefix:MRS
Other - First Name:ALEXANDRIA
Other - Middle Name:MARIE
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:TLMHC
Mailing Address - Street 1:1003 MAPLEWOOD DR APT 209
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-5398
Mailing Address - Country:US
Mailing Address - Phone:515-556-9858
Mailing Address - Fax:
Practice Address - Street 1:111 PLAZA CIR
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-5138
Practice Address - Country:US
Practice Address - Phone:319-433-0395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA097135101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health