Provider Demographics
NPI:1174219273
Name:ADAMS, ALEXA (LCSW CANDIDATE)
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LCSW CANDIDATE
Other - Prefix:
Other - First Name:ALEXA
Other - Middle Name:
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:947 E KIRKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81007-3952
Mailing Address - Country:US
Mailing Address - Phone:760-221-8216
Mailing Address - Fax:
Practice Address - Street 1:411 LAKEWOOD CIR STE A104
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-2667
Practice Address - Country:US
Practice Address - Phone:760-221-8216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health