Provider Demographics
NPI:1215261409
Name:ALEXANDER, JOSEPH B (MA, MDIV, LMFT)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:B
Last Name:ALEXANDER
Suffix:
Gender:
Credentials:MA, MDIV, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 HEALY DR
Mailing Address - Street 2:200-A
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-1403
Mailing Address - Country:US
Mailing Address - Phone:336-893-8727
Mailing Address - Fax:336-893-8726
Practice Address - Street 1:3410 HEALY DR STE 200A
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1568
Practice Address - Country:US
Practice Address - Phone:336-893-8727
Practice Address - Fax:336-893-8726
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-22
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1184106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1215261409Medicaid