Provider Demographics
NPI:1538657002
Name:DENSON, ALEXANDRIA SHANELLE
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:SHANELLE
Last Name:DENSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8536 HONEYWELL RD LOT 23
Mailing Address - Street 2:
Mailing Address - City:GIBSONTON
Mailing Address - State:FL
Mailing Address - Zip Code:33534-5416
Mailing Address - Country:US
Mailing Address - Phone:813-279-3053
Mailing Address - Fax:
Practice Address - Street 1:8536 HONEYWELL RD LOT 23
Practice Address - Street 2:
Practice Address - City:GIBSONTON
Practice Address - State:FL
Practice Address - Zip Code:33534-5416
Practice Address - Country:US
Practice Address - Phone:813-802-5007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-30
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health