Provider Demographics
NPI:1356217871
Name:ALEXANDER, TACHEL
Entity type:Individual
Prefix:
First Name:TACHEL
Middle Name:
Last Name:ALEXANDER
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 1:425 W AIRLINE HWY
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-3818
Mailing Address - Country:US
Mailing Address - Phone:985-233-4035
Mailing Address - Fax:504-641-5652
Practice Address - Street 1:425 W AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-3818
Practice Address - Country:US
Practice Address - Phone:985-233-4035
Practice Address - Fax:504-641-5652
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker