Healthcare Provider Details

I. General information

NPI: 1275465460
Provider Name (Legal Business Name): ALEXANDRA HATLEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 DUNLOP BLVD
MADISON AL
35758-4064
US

IV. Provider business mailing address

2713 6TH AVE SW
HUNTSVILLE AL
35805-3754
US

V. Phone/Fax

Practice location:
  • Phone: 256-542-0022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC05994
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: