Healthcare Provider Details

I. General information

NPI: 1831708510
Provider Name (Legal Business Name): ALEXANDRA LEROY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2020
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E PARK DR
ALBION IN
46701-1438
US

IV. Provider business mailing address

116 W 4TH ST
AUBURN IN
46706-1708
US

V. Phone/Fax

Practice location:
  • Phone: 800-342-5653
  • Fax:
Mailing address:
  • Phone: 260-226-5220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: