Healthcare Provider Details

I. General information

NPI: 1952237489
Provider Name (Legal Business Name): ALEXI EXECUTIVE COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

600 25TH AVE S STE 207
SAINT CLOUD MN
56301-4866
US

IV. Provider business mailing address

600 25TH AVE S STE 207
SAINT CLOUD MN
56301-4866
US

V. Phone/Fax

Practice location:
  • Phone: 320-492-2205
  • Fax:
Mailing address:
  • Phone: 320-492-2205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNA BERGER
Title or Position: CEO
Credential: MS
Phone: 320-492-2205