Provider Demographics
NPI:1104403013
Name:ALEXANDER, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21021 SPRING BROOK PLAZA DR STE 140
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-5339
Mailing Address - Country:US
Mailing Address - Phone:832-717-7166
Mailing Address - Fax:844-553-3090
Practice Address - Street 1:21021 SPRING BROOK PLAZA DR STE 140
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-5339
Practice Address - Country:US
Practice Address - Phone:832-717-7166
Practice Address - Fax:844-553-3090
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77715101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional