1144816810 NPI number — ALEXANDRIA ELIZABETH HOLCHIN LCSW

Table of content: BRADY DIDION (NPI 1609141779)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144816810 NPI number — ALEXANDRIA ELIZABETH HOLCHIN LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOLCHIN
Provider First Name:
ALEXANDRIA
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STROUD
Provider Other First Name:
ALEXANDRIA
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1144816810
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/25/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 208
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JEFFERSON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28640-0208
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-246-9449
Provider Business Mailing Address Fax Number:
336-982-3555

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
255 NORTHWEST LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARRENSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28693-9244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-246-9449
Provider Business Practice Location Address Fax Number:
336-384-1626
Provider Enumeration Date:
12/17/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  P014802 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: C015893 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com