Provider Demographics
NPI:1750072112
Name:ALEXANDER, CEDRANEKA CHERIAN (PLPC)
Entity type:Individual
Prefix:MS
First Name:CEDRANEKA
Middle Name:CHERIAN
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 BOUTTE ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:BOUTTE
Mailing Address - State:LA
Mailing Address - Zip Code:70039-3423
Mailing Address - Country:US
Mailing Address - Phone:504-908-6525
Mailing Address - Fax:
Practice Address - Street 1:10001 LAKE FOREST BLVD STE 302
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-6205
Practice Address - Country:US
Practice Address - Phone:504-207-1921
Practice Address - Fax:504-309-9066
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-17
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
LAPLC10555101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health