Provider Demographics
NPI:1447148796
Name:ALEXANDER, MIKALLAH (LPC-A)
Entity type:Individual
Prefix:
First Name:MIKALLAH
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 8TH ST STE 600
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-6807
Mailing Address - Country:US
Mailing Address - Phone:940-239-9169
Mailing Address - Fax:
Practice Address - Street 1:900 8TH ST STE 600
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-6807
Practice Address - Country:US
Practice Address - Phone:940-239-9169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97868101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional