IndividualActive
Alexander Waites, LPC-IT
NPI 1154094290 · Professional Counselor · Greenfield, WI
Provider details
- NPI number
- 1154094290
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC-IT
- Sex
- Male
- Sole proprietor
- No
- License
- 5032-226 (WI)
Practice location
4811 S 76th St # 305
Greenfield, WI 53220-4364
Phone: (414) 325-7741
Mailing address
4811 S 76th St Ste 305
Greenfield, WI 53220-4364
Registry dates
- Enumerated
- 2021-07-26
- Last updated
- 2023-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.