MEDICARE: ALEXANDRIA CANNON

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1942142518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRIA CANNON

Provider Business Mailing Address
First Line	:	2507 WILLIAM ELLERY DR
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-7663
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 NORTH UNION STREET, STE 100 ALEXANDRIA, VA 22314
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314
Country	:	US
Telephone Number	:	703-718-6744
Fax Number	:

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

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

Similar Medicare Providers

1588505101 — MELAYNA SCHIFF
Practice Location Address:

215 N PAYNE ST STE 14574
ALEXANDRIA, VA
22314-2444

Practice Phone: 954-548-5500
Practice Fax:

1942148002 — MEGAN LOUISE HOOPER
Practice Location Address:

2121 EISENHOWER AVE STE 501
ALEXANDRIA, VA
22314-4688

Practice Phone: 540-845-6940
Practice Fax:

1154263473 — ALEXANDER DUNN
Practice Location Address:

2805 DUKE ST
ALEXANDRIA, VA
22314-4512

Practice Phone: 703-870-3880
Practice Fax: 775-392-1245

1023970597 — IMANE AIT BAYMIK
Practice Location Address:

2805 DUKE ST
ALEXANDRIA, VA
22314-4512

Practice Phone: 703-380-3880
Practice Fax: 775-392-1245

1609718824 — BRIGHT LIVES COMMUNITY SUPPORT LLC
Practice Location Address:

2121 EISENHOWER AVE STE 219
ALEXANDRIA, VA
22314-4698

Practice Phone: 703-853-0363
Practice Fax:

1962913368 — EVGENIA MALIK PA
Practice Location Address:

1920 BALLENGER AVE STE 107
ALEXANDRIA, VA
22314-6913

Practice Phone: 703-214-4628
Practice Fax: 703-810-5452

Directions to “ ALEXANDRIA CANNON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.