Healthcare Provider Details

I. General information

NPI: 1508509977
Provider Name (Legal Business Name): ALEXSIE WARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 GALLIMORE DAIRY RD STE B
GREENSBORO NC
27409-9544
US

IV. Provider business mailing address

420 GALLIMORE DAIRY RD STE B
GREENSBORO NC
27409-9544
US

V. Phone/Fax

Practice location:
  • Phone: 704-780-4271
  • Fax:
Mailing address:
  • Phone: 704-780-4271
  • Fax: 888-261-6694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: