Provider Demographics
NPI:1356216741
Name:SHOOK, ALEXANDRIA (MS, ALC)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:SHOOK
Suffix:
Gender:F
Credentials:MS, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8442 COUNTY ROAD 26
Mailing Address - Street 2:
Mailing Address - City:RAGLAND
Mailing Address - State:AL
Mailing Address - Zip Code:35131-5620
Mailing Address - Country:US
Mailing Address - Phone:256-310-1032
Mailing Address - Fax:
Practice Address - Street 1:11125 US 280 EAST
Practice Address - Street 2:
Practice Address - City:WESTOVER
Practice Address - State:AL
Practice Address - Zip Code:35147
Practice Address - Country:US
Practice Address - Phone:205-902-3481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC05741101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health