Provider Demographics
NPI:1699544973
Name:ALEXANDER, MELODIE R (LPC)
Entity type:Individual
Prefix:MRS
First Name:MELODIE
Middle Name:R
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:MELODIE
Other - Middle Name:R
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT-A
Mailing Address - Street 1:5304 W PLANO PKWY STE 1
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4821
Mailing Address - Country:US
Mailing Address - Phone:469-232-7877
Mailing Address - Fax:
Practice Address - Street 1:5304 W PLANO PKWY STE 1
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4821
Practice Address - Country:US
Practice Address - Phone:469-232-7877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86021101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional