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NPI Code Detail

MEDICARE: ALEXA DONLEY

MEDICARE: ALEXA DONLEY
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
1172V00000XCommunity Health Worker
2101YM0800XMental Health CounselorA2406018AR

General Provider Information

NPI Number : 1780010223
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA DONLEY
Provider Business Mailing Address
First Line : 172 RICHARD LAUEN RD
Second Line :
City : SEARCY
State : AR
Zip : 72143-9654
Country : US
Telephone Number : 314-677-4701
Fax Number : 501-242-0820
Provider Business Practice Location Address
First Line : 106 N PECAN ST
Second Line :
City : BEEBE
State : AR
Zip : 72012-2524
Country : US
Telephone Number : 501-232-2600
Fax Number : 501-242-0820
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2013
Last Update Date : 06/27/2024

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Directions to “ ALEXA DONLEY ” Practice Location

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