Maegan Amanda Alexander, CPSS-R

Individual provider Active NPI Peer Specialist · Pascagoula, MS

NPI 1700573185 · NPPES record last updated Apr 18, 2023

Key facts

NPI
1700573185
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
4905 Telephone Rd
Pascagoula, MS 39567-1823
Phone
(228) 769-1280
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Peer Specialist 175T00000X MS Yes

Addresses

Primary practice location

4905 Telephone Rd
Pascagoula, MS 39567-1823

Mailing address

3407 Shamrock CT
Gautier, MS 39553-5337
Phone (228) 497-0690

Other providers in Pascagoula, MS

All providers in Pascagoula, MS · Peer Specialist in Mississippi

Sources for this page

Verify at the official NPI Registry.