Provider Demographics
NPI:1912540923
Name:ALEXANDER, NATASHA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:EVONNE ALEXANDER
Other - Last Name:LOVETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:244 OLD SETTLERS TRL
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75167-4835
Mailing Address - Country:US
Mailing Address - Phone:214-215-2033
Mailing Address - Fax:
Practice Address - Street 1:244 OLD SETTLERS TRL
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75167-4835
Practice Address - Country:US
Practice Address - Phone:214-215-2033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71959101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty