Healthcare Provider Details

I. General information

NPI: 1568350858
Provider Name (Legal Business Name): ALEXA LEE LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

398 FLORENCE DR
CLAYTON NC
27527-9249
US

IV. Provider business mailing address

1194 PEELE RD
CLAYTON NC
27520-6864
US

V. Phone/Fax

Practice location:
  • Phone: 984-274-9532
  • Fax:
Mailing address:
  • Phone: 919-902-9327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA21631
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: