MEDICARE: ALEXANDRIA ORTIZ 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	:	1629642871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDRIA ORTIZ LLC

Provider Business Mailing Address
First Line	:	525 E HUISACHE AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-5308
Country	:	US
Telephone Number	:	210-920-0230
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 E HUISACHE AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-5308
Country	:	US
Telephone Number	:	210-920-0230
Fax Number	:

Authorized Official
Title or Position	:	LPC/OWNER
Name	:	ALEXANDRIA ORTIZ
Credential	:
Telephone Number	:	210-947-3440

Provider Enumeration Date	:	05/13/2021
Last Update Date	:	12/22/2025

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Directions to “ALEXANDRIA ORTIZ LLC ” Practice Location

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