IndividualActive
Alexander Mudrovich, LPC-A
NPI 1689529786 · Mental Health Counselor · Benbrook, TX
Provider details
- NPI number
- 1689529786
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC-A
- Sex
- Male
- Sole proprietor
- Yes
- License
- 101787 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3804 Levee Cir E Apt 252
Benbrook, TX 76109-3839
Phone: (817) 996-4368
Approximate (ZIP-level) locationGet directions
Mailing address
3804 Levee Cir E Apt 252
Benbrook, TX 76109-3839
Registry dates
- Enumerated
- 2026-03-03
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.