Provider Demographics
NPI:1578163754
Name:PEEK, ALEXANDRIAN ELAINE (LPC-MHSP)
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRIAN
Middle Name:ELAINE
Last Name:PEEK
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10014 TELLICO DR
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-8615
Mailing Address - Country:US
Mailing Address - Phone:423-718-8136
Mailing Address - Fax:
Practice Address - Street 1:6400 LEE HWY STE 110
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2452
Practice Address - Country:US
Practice Address - Phone:423-648-4951
Practice Address - Fax:423-490-0410
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000005060101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional