Provider Demographics
NPI:1053118414
Name:ADAMS, ALEXANDRA PATRICIA (LPC-A)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:PATRICIA
Last Name:ADAMS
Suffix:
Gender:
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 N CARRIER PKWY
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-5308
Mailing Address - Country:US
Mailing Address - Phone:817-905-9471
Mailing Address - Fax:
Practice Address - Street 1:817 N CARRIER PKWY
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-5308
Practice Address - Country:US
Practice Address - Phone:817-905-9471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor