MEDICARE: MR. ALEXANDR PHILIP LPC

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	101YM0800X	Mental Health Counselor	74513	TX

General Provider Information

NPI Number	:	1245603000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEXANDR PHILIP LPC

Provider Business Mailing Address
First Line	:	1001 CROSS TIMBERS RD STE 1240
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-8866
Country	:	US
Telephone Number	:	214-436-2272
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 SPINKS RD STE 118
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4451
Country	:	US
Telephone Number	:	214-436-2272
Fax Number	:

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

Provider Enumeration Date	:	11/02/2015
Last Update Date	:	04/18/2025

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