Provider Demographics
NPI:1588171599
Name:HAYDON, ALEXANDRA MARIE (LCDC, LMFT-A, LPC-I)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:MARIE
Last Name:HAYDON
Suffix:
Gender:F
Credentials:LCDC, LMFT-A, LPC-I
Other - Prefix:
Other - First Name:ALLIE
Other - Middle Name:MARIE
Other - Last Name:HAYDON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCDC, LMFT-A, LPC-I
Mailing Address - Street 1:725 BATESWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5800
Mailing Address - Country:US
Mailing Address - Phone:713-259-2550
Mailing Address - Fax:
Practice Address - Street 1:725 BATESWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5800
Practice Address - Country:US
Practice Address - Phone:713-259-2550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12652101YA0400X
TX78034101YM0800X
TX202881101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)