Healthcare Provider Details

I. General information

NPI: 1760197354
Provider Name (Legal Business Name): FAITH ALEXANDER NCPSS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2023
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 GEORGIA AVE
BURLINGTON NC
27217
US

IV. Provider business mailing address

405 MAPLE AVE UNIT 245
BURLINGTON NC
27216-0839
US

V. Phone/Fax

Practice location:
  • Phone: 336-539-6893
  • Fax:
Mailing address:
  • Phone: 336-539-6893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number2024-9542-01
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: