Provider Demographics
NPI:1780384933
Name:POWER, ALEXANDRA GOLD (MS)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:GOLD
Last Name:POWER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:GOLD
Other - Last Name:NOLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:567 PINECREST LOOP
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-3892
Mailing Address - Country:US
Mailing Address - Phone:727-348-2455
Mailing Address - Fax:
Practice Address - Street 1:5850 T G LEE BLVD STE 400
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-4409
Practice Address - Country:US
Practice Address - Phone:727-348-2455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor