MEDICARE: ALEXANDRA HATLEY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPC05994	AL

General Provider Information

NPI Number	:	1275465460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA HATLEY LPC

Provider Business Mailing Address
First Line	:	2713 6TH AVE SW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35805-3754
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 DUNLOP BLVD
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-4064
Country	:	US
Telephone Number	:	256-542-0022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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