Provider Demographics
NPI:1285415745
Name:MYHILL-JONES, ALEXANDRA MARY TAMSIN
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:MARY TAMSIN
Last Name:MYHILL-JONES
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 1:7101 YORK AVE S STE 130
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4510
Mailing Address - Country:US
Mailing Address - Phone:612-730-2237
Mailing Address - Fax:
Practice Address - Street 1:7101 YORK AVE S STE 130
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4510
Practice Address - Country:US
Practice Address - Phone:612-730-2237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2886101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health