Healthcare Provider Details

I. General information

NPI: 1477306587
Provider Name (Legal Business Name): ALEKSANDRA RAE GUERRA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2024
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2107 MAUREL
CONROE TX
77304-1231
US

IV. Provider business mailing address

11211 KATY FWY STE 540
HOUSTON TX
77079-2124
US

V. Phone/Fax

Practice location:
  • Phone: 936-213-5404
  • Fax:
Mailing address:
  • Phone: 832-704-3845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number67494
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: