MEDICARE: ALEXANDRA GRYPARIS HARBIN

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	101Y00000X	Counselor	101312	TX

General Provider Information

NPI Number	:	1750249843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA GRYPARIS HARBIN

Provider Business Mailing Address
First Line	:	12580 SAGITTARIUS DR E
Second Line	:
City	:	WILLIS
State	:	TX
Zip	:	77318-5252
Country	:	US
Telephone Number	:	713-992-2418
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 BLUE HERON DR STE 102
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77316-3192
Country	:	US
Telephone Number	:	936-449-8053
Fax Number	:

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

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “ ALEXANDRA GRYPARIS HARBIN ” Practice Location

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