Healthcare Provider Details

I. General information

NPI: 1477410751
Provider Name (Legal Business Name): ALEXANDRA MORGAN MA, LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

2929 COVINGTON CT
LANSING MI
48912-4941
US

IV. Provider business mailing address

2141 AURELIUS RD APT 40
HOLT MI
48842-1377
US

V. Phone/Fax

Practice location:
  • Phone: 517-798-6745
  • Fax: 888-795-0018
Mailing address:
  • Phone: 517-525-6366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451022423
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: