Stacey G Alexander
Individual provider Active NPI Professional Counselor · Texarkana, TX
NPI 1942941802 · NPPES record last updated Apr 5, 2022
Key facts
- NPI
- 1942941802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 86352 (TX)
- Practice address
- 6500 Summerhill Rd
Texarkana, TX 75503-1721 - Phone
- (430) 342-2885
- NPI assigned
- Apr 5, 2022
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86352 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 86352 | TX | Yes |
Addresses
Primary practice location
6500 Summerhill Rd
Texarkana, TX 75503-1721
Mailing address
200 Finchs Way
Queen City, TX 75572-2581
Phone (430) 342-2885
Other providers in Texarkana, TX
- Earlene Ann Ainsley
- Chisom Regan Akanno
- Brian Christian Alessi
- Donnie Jo Alexander
- Madeline Grace Alexander
- Alford and Associates
- Zahir Ali
- Alison Kunefke Mashburn, LPC, PA
- Carey Christian Alkire
- Lauren Allday
All providers in Texarkana, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 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.