Individual provider · NPI-1

Tahira Lynette Alexander

Case Manager/Care Coordinator · Baton Rouge, LA

NPI number1053785626
StatusActive
Last updated in NPPESMar 20, 2019

Details

NPI
1053785626
Entity type
Individual (NPI-1)
Name
Tahira Lynette Alexander
Sex
Female
Sole proprietor
No
Enumeration date
Nov 19, 2015
Last updated
Mar 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
101YM0800X Counselor, Mental Health––

Practice location

9410 Lindale Ave Ste A
Baton Rouge, LA 70815-4160

Phone 225-929-9738

Mailing address

9410 Lindale Ave Ste A
Baton Rouge, LA 70815-4160

Phone 225-768-7246

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