Provider Demographics
NPI:1821429952
Name:ALEXANDER, ALLETA MICHELLE SPRUILL (MSW, LCSWA, LCAS)
Entity Type:Individual
Prefix:MS
First Name:ALLETA
Middle Name:MICHELLE SPRUILL
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MSW, LCSWA, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 VERONA DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-8631
Mailing Address - Country:US
Mailing Address - Phone:252-642-2751
Mailing Address - Fax:
Practice Address - Street 1:147 VERONA DRIVE
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527
Practice Address - Country:US
Practice Address - Phone:984-254-2994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-27
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0143611041C0700X
NC25208101YA0400X
NC0138841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)