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Provider Information for 1659842185


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ALEXANDRIA MONDAY SHEUCRAFT LPC-MHSP


Sex: Female

NPI: 1659842185
Last Updated: 2025-01-21
Certification Date: 2025-01-21

Details

NameValue
NPI1659842185
Enumeration Date2018-12-10
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 220 ATHENS WAY STE 104
NASHVILLE, TN 37228-1351
United States

Phone: 615-320-1155 | Fax:615-320-1177
 
Primary Practice Address 220 ATHENS WAY STE 320
NASHVILLE, TN 37228-1311
United States

Phone: 615-320-1155 | Fax:615-320-1177
 
Secondary Practice Address(es)

275 CUMBERLAND BND
NASHVILLE, TN 37228-1805
United States

Phone: 615-742-5739 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTN3907