Davis, Alexis A

Davis, Alexis A is an sole proprietor health care provider with primary practice located at 720 Eskenazi Ave , Indianapolis IN 46202-5187. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Davis, Alexis A can be contacted via phone (317) 880-8484.

Contact Information

Primary practice address
720 Eskenazi Ave Indianapolis IN 46202-5187
Phone: (317) 880-8484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 34005028A Indiana

Profile Details

NPI number 1003034364
LBN Legal business name Davis, Alexis A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Nov 23rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003034364 NPPES
Indiana MEDICAID 200510520A

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