Healthcare Provider Details

I. General information

NPI: 1174442552
Provider Name (Legal Business Name): ALEXANDRA MADALINA FRINCU MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALEXANDRA MADALINA BOURGEOIS MA, LPC

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15890 E PRENTICE DR
CENTENNIAL CO
80015-4268
US

IV. Provider business mailing address

15890 E PRENTICE DR
CENTENNIAL CO
80015-4268
US

V. Phone/Fax

Practice location:
  • Phone: 720-812-1575
  • Fax:
Mailing address:
  • Phone: 720-812-1575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0024135
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: