MEDICARE: ALEXI EXECUTIVE COLLECTIVE LLC

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
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1952237489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXI EXECUTIVE COLLECTIVE LLC

Provider Business Mailing Address
First Line	:	600 25TH AVE S STE 207
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56301-4866
Country	:	US
Telephone Number	:	320-492-2205
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 25TH AVE S STE 207
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56301-4866
Country	:	US
Telephone Number	:	320-492-2205
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JENNA BERGER
Credential	:	MS
Telephone Number	:	320-492-2205

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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