MEDICARE: ALEXANDRIA PHELPS 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	101YP2500X	Professional Counselor	6401020195	MI

General Provider Information

NPI Number	:	1346981099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRIA PHELPS LPC

Provider Business Mailing Address
First Line	:	1266 CASTLEWOOD DR
Second Line	:
City	:	WHITE LAKE
State	:	MI
Zip	:	48386-3717
Country	:	US
Telephone Number	:	248-894-0557
Fax Number	:

Provider Business Practice Location Address
First Line	:	1266 CASTLEWOOD DR
Second Line	:
City	:	WHITE LAKE
State	:	MI
Zip	:	48386-3717
Country	:	US
Telephone Number	:	248-894-0557
Fax Number	:

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

Provider Enumeration Date	:	04/06/2022
Last Update Date	:	04/06/2022

Similar Medicare Providers

1467154419 — ELIZABETH M MENDONCA
Practice Location Address:

280 OLD MAMARONECK RD
WHITE PLAINS, NY
10605-3717

Practice Phone: 914-725-7300
Practice Fax:

1235817669 — LATRICE PRICE
Practice Location Address:

3717 WHITE PINE RD
MIDDLE RIVER, MD
21220-3222

Practice Phone: 667-848-2447
Practice Fax:

1649592395 — AMANDA MERRELL APRN
Practice Location Address:

3135 LAKE SEMINOLE PL
BUFORD, GA
30519-3717

Practice Phone: 770-846-1399
Practice Fax:

1699076620 — DANIEL GIGSTAD
Practice Location Address:

3717 KEOKUK AVE
SPIRIT LAKE, IA
51360

Practice Phone: 952-715-0480
Practice Fax:

1316205750 — YAMAN AL-HADIDI II DDS
Practice Location Address:

3717 WARDS POINT DR
ORCHARD LAKE, MI
48324-1662

Practice Phone: 248-687-9347
Practice Fax:

1801286919 — BROADMOOR LAKE DENTAL
Practice Location Address:

155 LAKE AVE STE 201
COLORADO SPRINGS, CO
80906-3717

Practice Phone: 719-375-5201
Practice Fax: 844-656-9696

Directions to “ ALEXANDRIA PHELPS LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.