MEDICARE: ALEXANDER COUNSELING AND EDUCATIONAL SERVICES, LLC

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

General Provider Information

NPI Number	:	1487307781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER COUNSELING AND EDUCATIONAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	6610 SANTA MONICA BLVD
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71119-7113
Country	:	US
Telephone Number	:	318-426-6022
Fax Number	:

Provider Business Practice Location Address
First Line	:	6610 SANTA MONICA BLVD
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71119-7113
Country	:	US
Telephone Number	:	318-426-6022
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEBORAH ALEXANDER
Credential	:	LPC
Telephone Number	:	318-426-6022

Provider Enumeration Date	:	01/27/2022
Last Update Date	:	01/27/2022

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