ALEXANDRA GACKLE LPC NPI 1003671074

NPI Information

NPI: 1003671074
Provider Name: ALEXANDRA GACKLE, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
28 S COLLEGE AVE STE 4A
FAYETTEVILLE, AR
ZIP 72701
Phone: (913) 669-8795
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Alexandra Gackle, LPC is a professional counselor in Fayetteville, AR. Alexandra Gackle, LPC NPI is 1003671074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

28 S COLLEGE AVE STE 4A
FAYETTEVILLE, AR
ZIP 72701-344
Phone: (913) 669-8795

The enumeration date for this NPI number is 2/19/2024 and was last updated on 4/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	A2109013	ARKANSAS	No
2	101YP2500X	Counselor	Professional	P2403020	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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