Individual
ALEXANDRA GILLIAN THAILING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 LOUISIANA AVE, WINTER PARK, FL 32789-2341
(407) 594-7511
Mailing address
1155 LOUISIANA AVE, WINTER PARK, FL 32789-2341
(407) 594-7511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH29302
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
05/27/2026
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