MEDICARE: ALEXAH FAUCETTE LPCC

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	106S00000X	Behavior Technician	RBT-18-72812	CO
2	101YM0800X	Mental Health Counselor	LPCC.0020749	CO

General Provider Information

NPI Number	:	1801367065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXAH FAUCETTE LPCC

Provider Business Mailing Address
First Line	:	7680 GODDARD ST STE 214
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-8233
Country	:	US
Telephone Number	:	720-500-2008
Fax Number	:	719-398-2429

Provider Business Practice Location Address
First Line	:	7680 GODDARD ST STE 214
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-8233
Country	:	US
Telephone Number	:	720-500-2008
Fax Number	:	719-398-2429

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

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	03/26/2025

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