=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952248429
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THAT THERAPY GIRL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/01/2026
-----------------------------------------------------
Last Update Date | 05/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 115 E LANTANA RD APT 1
-----------------------------------------------------
City | LANTANA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33462-2930
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-542-8015
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 115 E LANTANA RD APT 1
-----------------------------------------------------
City | LANTANA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33462-2930
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-542-8015
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ALEXANDRA ALEXANDRA
-----------------------------------------------------
Credential | LMFT
-----------------------------------------------------
Telephone | 561-542-8015
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------