Alexandra Grace Balbuena, LCSW-S
Social Worker, Clinical in Dallas, TX. Individual provider (NPI-1).
NPI number1891663456
StatusActive
Last updated in NPPESOct 27, 2025
Details
- NPI
- 1891663456
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Grace Balbuena
- Credential
- LCSW-S
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2025
- Certification date
- Oct 27, 2025
- Last updated
- Oct 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 64764 | TX | Yes |
Practice location
4343 Travis St Apt 15Dallas, TX 75205-4882
Phone 612-396-0235
Mailing address
4343 Travis St Apt 15Dallas, TX 75205-4882
Phone 612-396-0235
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