Provider Demographics
NPI:1528869310
Name:TAPIA, ALEXANDRA AIMEE (LPC)
Entity type:Individual
Prefix:MISS
First Name:ALEXANDRA
Middle Name:AIMEE
Last Name:TAPIA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 GUNDERSEN DR APT 108
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-3148
Mailing Address - Country:US
Mailing Address - Phone:331-232-9769
Mailing Address - Fax:
Practice Address - Street 1:721 S QUENTIN RD STE 103
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-6778
Practice Address - Country:US
Practice Address - Phone:847-359-7490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-27
Deactivation Date:2025-03-19
Deactivation Code:
Reactivation Date:2025-03-27
Provider Licenses
StateLicense IDTaxonomies
IL178.020069101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health