Basic Information
| Provider Information | |||||||||
| NPI: | 1487314852 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHIRALDI | ||||||||
| FirstName: | ALEXANDRIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1508 HIDDEN CREEK CIRCLE DRIVE NE | ||||||||
| Address2: | APT D MAILBOX 799 #12 | ||||||||
| City: | GRAND RAPIDS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 49505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3479470974 | ||||||||
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| Practice Location | |||||||||
| Address1: | 115 BALL AVE NE | ||||||||
| Address2: | BUILDING A | ||||||||
| City: | GRAND RAPIDS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 49505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6164567775 | ||||||||
| FaxNumber: | 6167742044 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/27/2021 | ||||||||
| LastUpdateDate: | 12/27/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.