Shawn Alexander
Individual provider Active NPI Counselor · Laingsburg, MI
NPI 1104545771 · NPPES record last updated Aug 25, 2022
Key facts
- NPI
- 1104545771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 11241 Pulver Rd
Laingsburg, MI 48848-9366 - Phone
- (989) 640-4348
- NPI assigned
- Aug 25, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
11241 Pulver Rd
Laingsburg, MI 48848-9366
Mailing address
11241 Pulver Rd
Laingsburg, MI 48848-9366
Phone (989) 640-4348
Other practice location 1
625 Kenmoor Ave SE Ste 301
Grand Rapids, MI 49546-2395
Phone (616) 430-8388
Other providers in Laingsburg, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.