| Doctor Name: | ALEXANDRA MARIE MCKENTLY |
| NPI Number: | 1174840342 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC, LPC |
| License Number: | 7334 |
| Business Practice Address: | 1420 Celebration Blvd Suite #200 Celebration, FL - 347475159 |
| Business Phone Number: | 4079829420 |
| Business Fax Number: | |
| Mailing Address: | 1420 Celebration Blvd, Suite #200 CELEBRATION |
| State: | FL |
| Postal Code: | 347475159 |
| Phone Number: | 4079829420 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2010 |
| NPI Last Update Date: | 11/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 7334 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |