Provider Demographics
NPI:1558178087
Name:ALEXANDER, JUSTIN KEITH (MS, LPC-A)
Entity type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:KEITH
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MS, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5755 W RAYFORD RD APT 724
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-2233
Mailing Address - Country:US
Mailing Address - Phone:832-832-1347
Mailing Address - Fax:
Practice Address - Street 1:5755 W RAYFORD RD APT 724
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-2233
Practice Address - Country:US
Practice Address - Phone:832-832-1347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94999101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health