Individual ProviderKellie AlexanderSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1604 Westgate Cir Ste 240, Brentwood, TN 37027-8578(318) 792-0108PECOS EnrollmentBased on the most recent information from CMS, provider Kellie Alexander does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1154297638Provider TypeIndividualFull NameAlexander, KellieCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date10/13/2025Last Updated10/13/2025Contact InformationPractice LocationPractice Address1604 Westgate Cir Ste 240, Brentwood, TN 37027-8578Phone(318) 792-0108FaxUnlisted FaxMailing LocationMailing Address7884 Halewood Dr, College Grove, TN 37046-2053Phone(318) 792-0108FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense7777Tennessee