Provider Demographics
NPI:1639534811
Name:ALEXANDER, ALLISON LILLIAN (BSW)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:LILLIAN
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4625 FALCONCREST DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-7458
Mailing Address - Country:US
Mailing Address - Phone:270-443-0096
Mailing Address - Fax:270-443-0080
Practice Address - Street 1:4625 FALCONCREST DR
Practice Address - Street 2:SUITE A
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-7458
Practice Address - Country:US
Practice Address - Phone:270-443-0096
Practice Address - Fax:270-443-0080
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator