Healthcare Provider Details

I. General information

NPI: 1447110929
Provider Name (Legal Business Name): ALEXANDER PAGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1861 N ROCK RD STE 330
WICHITA KS
67206-1264
US

IV. Provider business mailing address

1861 N ROCK RD STE 330
WICHITA KS
67206-1264
US

V. Phone/Fax

Practice location:
  • Phone: 732-523-4057
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER PAGE
Title or Position: OWNER
Credential:
Phone: 732-523-4057