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NPI Code Detail

MEDICARE: MR. TAYEON C ALEXANDER SR.

MEDICARE:  MR. TAYEON C ALEXANDER SR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorVA

General Provider Information

NPI Number : 1043189186
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TAYEON C ALEXANDER SR.
Provider Business Mailing Address
First Line : 4045 COAL SPRING LN APT 2B
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-4358
Country : US
Telephone Number : 804-346-6192
Fax Number :
Provider Business Practice Location Address
First Line : 9002 WHITE PICKETT CT
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23237-4760
Country : US
Telephone Number : 804-346-6192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2025
Last Update Date : 11/05/2025

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Directions to “ MR. TAYEON C ALEXANDER SR. ” Practice Location

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