Organization Name: | ALEXANDER & ASSOCIATES |
NPI Number: | 1053565622 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEIDRE MCAULIFFE ALEXANDER (OWNER) |
Mailing Address: | 303 E Army Trail Rd Suite 207 Bloomingdale |
State: | IL US |
Postal Code: | 601082169 |
Phone Number: | 6303092989 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2008 |
NPI Last Update Date: | 11/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 18000867 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |