Provider Demographics
NPI:1144082140
Name:COYNE, ALEXANDRA NORENE (MS, NCC)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:NORENE
Last Name:COYNE
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1626 EVERGREEN DR APT 14
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-3815
Mailing Address - Country:US
Mailing Address - Phone:605-389-2571
Mailing Address - Fax:
Practice Address - Street 1:909 SAINT JOSEPH ST STE 201
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-3304
Practice Address - Country:US
Practice Address - Phone:605-299-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health