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NPI Code Detail

MEDICARE: ALEXANDRA BAXTER M.S.

MEDICARE: ALEXANDRA BAXTER M.S.
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1679952782
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA BAXTER M.S.
Provider Business Mailing Address
First Line : 4045 ORCHARD RD SE STE 110
Second Line :
City : SMYRNA
State : GA
Zip : 30080-4904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4045 ORCHARD RD SE STE 110
Second Line :
City : SMYRNA
State : GA
Zip : 30080-4904
Country : US
Telephone Number : 770-293-1950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2015
Last Update Date : 03/09/2026

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Directions to “ ALEXANDRA BAXTER M.S.” Practice Location

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