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NPI Code Detail

MEDICARE: MARY ELLEN ALEXANDER

MEDICARE:   MARY ELLEN  ALEXANDER
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1891525788
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ELLEN ALEXANDER
Provider Business Mailing Address
First Line : 30 BURTON HILLS BLVD STE 575
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-6188
Country : US
Telephone Number : 615-745-1207
Fax Number :
Provider Business Practice Location Address
First Line : 30 BURTON HILLS BLVD STE 575
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-6188
Country : US
Telephone Number : 615-745-1207
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2024
Last Update Date : 08/05/2024

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Directions to “ MARY ELLEN ALEXANDER ” Practice Location

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