# ALEXANDRIA PLACE THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942545942
- **Authorized official:** MRS. NICOLE JALAZO HALPERN LCSW, RPT (OWNER, THERAPIST)
- **Authorized official phone:** (202) 253-7503

## Contact information

- **Practice address:** 108A S COLUMBUS ST, ALEXANDRIA, VA 22314-3051
- **Practice address phone:** (703) 963-4261
- **Mailing address:** 108A S COLUMBUS ST, ALEXANDRIA, VA 22314-3051
- **Mailing address phone:** (703) 963-4261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 0810004171 | VA | — |
| 1041C0700X | Clinical Social Worker | 0904006327 | VA | Yes |

## Other

- **Enumeration date:** 12/02/2012
- **Last updated:** 12/02/2012