Provider Demographics
NPI:1811982168
Name:ALEXANDER, DEANNA JOYCE (LPC)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:JOYCE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 WESTKENDAL LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-1148
Mailing Address - Country:US
Mailing Address - Phone:817-461-0655
Mailing Address - Fax:817-277-1915
Practice Address - Street 1:2105 WESTKENDAL LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-1148
Practice Address - Country:US
Practice Address - Phone:817-461-0655
Practice Address - Fax:817-277-1915
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1665101YA0400X
TX18089101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3143543OtherNORTHSTAR
TX117677OtherAMERIGROUP
TX123554OtherMENTAL HEALTH NETWORK
TX143543OtherVALUE OPTIONS
TX123554OtherMENTAL HEALTH NETWORK
TXS53768Medicare UPIN