Healthcare Provider Details

I. General information

NPI: 1831720606
Provider Name (Legal Business Name): HALIE ALEXANDER LCSW, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2020
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4109 N ELIZABETH ST
PUEBLO CO
81008-2009
US

IV. Provider business mailing address

1415 BERKLEY AVE
PUEBLO CO
81004-3003
US

V. Phone/Fax

Practice location:
  • Phone: 719-714-2607
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0002177
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09929654
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: