Provider Demographics
NPI:1184325748
Name:ALEXANDRIA ANSHANT LMFT, LLC
Entity type:Organization
Organization Name:ALEXANDRIA ANSHANT LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANSHANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-836-2320
Mailing Address - Street 1:113 GOVERNORS CIR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-1441
Mailing Address - Country:US
Mailing Address - Phone:610-836-2320
Mailing Address - Fax:
Practice Address - Street 1:113 GOVERNORS CIR
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-1441
Practice Address - Country:US
Practice Address - Phone:610-836-2320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty