MEDICARE: ALEXA PARKER

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1124618848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXA PARKER

Provider Business Mailing Address
First Line	:	18919 W SOLANO DR
Second Line	:
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-5445
Country	:	US
Telephone Number	:	623-764-1242
Fax Number	:

Provider Business Practice Location Address
First Line	:	1646 N LITCHFIELD RD STE 240
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85395-1203
Country	:	US
Telephone Number	:	480-640-4497
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2021
Last Update Date	:	02/13/2026

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Directions to “ ALEXA PARKER ” Practice Location

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