Healthcare Provider Details

I. General information

NPI: 1891652053
Provider Name (Legal Business Name): ALEXANDRIA R BAUER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 WOODLANDS DR STE 200
MAUMEE OH
43537-4045
US

IV. Provider business mailing address

PO BOX 823
PERRYSBURG OH
43552-0823
US

V. Phone/Fax

Practice location:
  • Phone: 419-491-0420
  • Fax: 567-698-7875
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: