Healthcare Provider Details

I. General information

NPI: 1912843764
Provider Name (Legal Business Name): ALEXANDRA ENGLISH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3018 OLD MINDEN RD STE 1200
BOSSIER CITY LA
71112-2476
US

IV. Provider business mailing address

1303 LINE AVE STE 600
SHREVEPORT LA
71101-4638
US

V. Phone/Fax

Practice location:
  • Phone: 318-224-7223
  • Fax: 318-415-1004
Mailing address:
  • Phone: 318-918-3889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPLC11266
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: