NPI Code Details Logo

NPI 1013596717

NPI 1013596717 : ALEXANDRIA MARIE NEAL : SANTA MARIA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1013596717
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ALEXANDRIA MARIE NEAL
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/08/2021
-----------------------------------------------------
    Last Update Date     |    06/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    212 CARMEN LN STE 201 
-----------------------------------------------------
    City                 |    SANTA MARIA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93458-7771
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    805-260-9324
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2580 IRONWOOD AVE APT C 
-----------------------------------------------------
    City                 |    MORRO BAY
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93442-1436
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    661-304-9040
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    106S00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Technician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    172V00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Health Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    101Y00000X
-----------------------------------------------------
    Taxonomy Name        |    Counselor
-----------------------------------------------------
    License Number       |    16461
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.