Provider Demographics
NPI:1679918213
Name:ALEXANDER, CHERYL YVETTE (LPC-S)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:YVETTE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 S MAYS STE 103
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664
Mailing Address - Country:US
Mailing Address - Phone:512-796-3167
Mailing Address - Fax:512-712-5378
Practice Address - Street 1:1104 S. MAYS STE 103
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664
Practice Address - Country:US
Practice Address - Phone:512-796-3167
Practice Address - Fax:512-712-5378
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-09
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
TX69004170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS
No101Y00000XBehavioral Health & Social Service ProvidersCounselor