Provider Demographics
NPI:1598563504
Name:PRICE, ALEXANDER (LMHCA)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:PRICE
Suffix:
Gender:
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9845 PLANTANA BLVD
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-5527
Mailing Address - Country:US
Mailing Address - Phone:585-978-9412
Mailing Address - Fax:
Practice Address - Street 1:695 PRO MED LN STE 206
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5331
Practice Address - Country:US
Practice Address - Phone:317-674-3416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88002709A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health