1790093714 NPI number — ERIN A. ALEXANDER

Table of content: (NPI 1790093714)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790093714 NPI number — ERIN A. ALEXANDER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ERIN A. ALEXANDER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BRIGHTER FUTURE E-COUNSELING
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790093714
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/13/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7113 SAN PEDRO AVE # 266
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78216-6219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-232-2804
Provider Business Mailing Address Fax Number:
866-936-1664

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
510 MED CT STE 106
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78258-3483
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-495-0675
Provider Business Practice Location Address Fax Number:
210-495-0884
Provider Enumeration Date:
09/24/2010

Additional Information

Authorized Official

Authorized Official Last Name:
ALEXANDER
Authorized Official First Name:
ERIN
Authorized Official Middle Name:
ALAINE
Authorized Official Title or Position:
LICENSED PROFESSIONAL COUNSELOR
Authorized Official Telephone Number:
210-232-2804

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  18193 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3010 . This is a "LPC-S" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 11733007 . This is a "CAQH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1418681 . This is a "TEXAS SPECIAL EDUCATOR" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 18193 . This is a "LPC" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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