Provider Demographics
NPI:1376439513
Name:HARGROVE, ALEXIA GEOVAN (MED)
Entity type:Individual
Prefix:MRS
First Name:ALEXIA
Middle Name:GEOVAN
Last Name:HARGROVE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23324-3124
Mailing Address - Country:US
Mailing Address - Phone:757-575-6081
Mailing Address - Fax:
Practice Address - Street 1:1620 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23324-3124
Practice Address - Country:US
Practice Address - Phone:757-575-6081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0734003640101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor