Healthcare Provider Details

I. General information

NPI: 1023760311
Provider Name (Legal Business Name): LEXIE MAULDON LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2022
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2409 WILDWOOD
MUSCLE SHOALS AL
35661-6407
US

IV. Provider business mailing address

2409 WILDWOOD
MUSCLE SHOALS AL
35661-6407
US

V. Phone/Fax

Practice location:
  • Phone: 931-332-6467
  • Fax:
Mailing address:
  • Phone: 931-332-6467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC05891
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05891
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC05891
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: