Provider Demographics
NPI:1932748712
Name:DEANER, ALYXANDRE (LPC)
Entity Type:Individual
Prefix:
First Name:ALYXANDRE
Middle Name:
Last Name:DEANER
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 1:3121 UNIVERSITY DR STE 140
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-4606
Mailing Address - Country:US
Mailing Address - Phone:248-923-2099
Mailing Address - Fax:248-923-2096
Practice Address - Street 1:3121 UNIVERSITY DR STE 140
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-4606
Practice Address - Country:US
Practice Address - Phone:248-923-2099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-27
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401017617101YS0200X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool