Provider Demographics
NPI:1225824584
Name:ALEXANDER, TEANNA HOPE (LCSWA)
Entity type:Individual
Prefix:MISS
First Name:TEANNA
Middle Name:HOPE
Last Name:ALEXANDER
Suffix:
Gender:
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 W 30TH ST APT 106
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-1261
Mailing Address - Country:US
Mailing Address - Phone:803-577-2490
Mailing Address - Fax:
Practice Address - Street 1:4311 SCHOOL HOUSE CMNS # 140
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-7510
Practice Address - Country:US
Practice Address - Phone:704-918-5494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0219311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical