Provider Demographics
NPI:1437698461
Name:ALEXANDER, CORI DANIELLE (LPC, LMFT)
Entity type:Individual
Prefix:MRS
First Name:CORI
Middle Name:DANIELLE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21911 SILVER MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:HENSLEY
Mailing Address - State:AR
Mailing Address - Zip Code:72065-9021
Mailing Address - Country:US
Mailing Address - Phone:870-557-4509
Mailing Address - Fax:
Practice Address - Street 1:21911 SILVER MAPLE DR
Practice Address - Street 2:
Practice Address - City:HENSLEY
Practice Address - State:AR
Practice Address - Zip Code:72065-9021
Practice Address - Country:US
Practice Address - Phone:870-557-4509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-23
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1701172101Y00000X
ARF1701001106H00000X
ARP2308011101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist