Provider Demographics
NPI:1689047425
Name:HAEFFNER, ALEXANDRA PIACENTE (MA, LCMHCA)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:PIACENTE
Last Name:HAEFFNER
Suffix:
Gender:F
Credentials:MA, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 MITCHELL AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2742
Mailing Address - Country:US
Mailing Address - Phone:301-938-6852
Mailing Address - Fax:
Practice Address - Street 1:46 SAND HILL RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3029
Practice Address - Country:US
Practice Address - Phone:301-938-6852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10951101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health