Healthcare Provider Details

I. General information

NPI: 1154294288
Provider Name (Legal Business Name): ALEXANDRA NEINAST LCMHC-A, CRC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5316 HIGHGATE DR STE 221
DURHAM NC
27713-6629
US

IV. Provider business mailing address

231 SCARLETT DR
CHAPEL HILL NC
27517-5511
US

V. Phone/Fax

Practice location:
  • Phone: 919-695-7850
  • Fax:
Mailing address:
  • Phone: 512-751-1451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA21620
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: