Healthcare Provider Details

I. General information

NPI: 1922679596
Provider Name (Legal Business Name): ALEXANDRA MARIA HENSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4577 SAINT HELENA HWY
NAPA CA
94558-1315
US

IV. Provider business mailing address

4225 SOLANO AVE
NAPA CA
94558-1611
US

V. Phone/Fax

Practice location:
  • Phone: 707-287-7931
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number159382
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: