Provider Demographics
NPI:1932900487
Name:MORTON, ALEXA
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:
Last Name:MORTON
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 OUT YONDER LN
Mailing Address - Street 2:
Mailing Address - City:PARON
Mailing Address - State:AR
Mailing Address - Zip Code:72122-5010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24 OUT YONDER LN
Practice Address - Street 2:
Practice Address - City:PARON
Practice Address - State:AR
Practice Address - Zip Code:72122-5010
Practice Address - Country:US
Practice Address - Phone:501-216-0146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker