Healthcare Provider Details

I. General information

NPI: 1942899547
Provider Name (Legal Business Name): ALEXZANDRIA GEORGE LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALEXZANDRIA POTTS

II. Dates (important events)

Enumeration Date: 01/18/2021
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 US HIGHWAY 62 W
PRINCETON KY
42445-6106
US

IV. Provider business mailing address

PO BOX 614
HOPKINSVILLE KY
42241-0614
US

V. Phone/Fax

Practice location:
  • Phone: 270-365-2008
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number298153
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: