William Tyler Alexander, LAC
Individual provider Active NPI Professional Counselor · Phoenix, AZ
NPI 1144985409 · NPPES record last updated Nov 2, 2021
Key facts
- NPI
- 1144985409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LAC-19689 (AZ)
- Practice address
- 2211 E Highland Ave Ste 205
Phoenix, AZ 85016-4834 - Phone
- (480) 349-3671
- NPI assigned
- Nov 2, 2021
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-19689 | AZ | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LAC-19689 | AZ | Yes |
Addresses
Primary practice location
2211 E Highland Ave Ste 205
Phoenix, AZ 85016-4834
Mailing address
2211 E Highland Ave Ste 205
Phoenix, AZ 85016-4834
Other providers in Phoenix, AZ
- Micah Alexander
- Sally Ann Alexander
- Scott F Alexander
- Shannon Alexander
- Veronica Alexander
- Karsten Alexandria
- Nadejda Alexandrova
- Alexicom Tech LLC
- Alexis Petra MD
- Alexis Tully, LCSW, PLLC
All providers in Phoenix, AZ · Professional Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2021. 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.