Provider Demographics
NPI:1770187643
Name:CAULEY, ALEX
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:CAULEY
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 1:86 BARNEY RUSH RD
Mailing Address - Street 2:
Mailing Address - City:DEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71328-9430
Mailing Address - Country:US
Mailing Address - Phone:318-955-1469
Mailing Address - Fax:
Practice Address - Street 1:86 BARNEY RUSH RD
Practice Address - Street 2:
Practice Address - City:DEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71328-9430
Practice Address - Country:US
Practice Address - Phone:318-955-1469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator