Individual
ALEXANDRA RAE MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4107 W SPRUCE ST STE 100, TAMPA, FL 33607-2346
(813) 636-8811
(813) 636-8855
Mailing address
4107 W SPRUCE ST STE 100, TAMPA, FL 33607-2346
(813) 636-8811
(813) 636-8855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH22370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11926800
—
FL
05
—
119268000
—
FL
Enumeration date
11/20/2018
Last updated
03/30/2026
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