Most Relevant Information
Provider Data
NPI Number: | 1003034364 |
Provider Name: | ALEXIS A DAVIS LCSW |
Entity Type: | Individual |
Taxonomy Code: | 106H00000X |
Specialty: | Marriage & Family Therapist |
License Number: | 34005028A |
Most Important Dates
Enumeration Date: | 04/23/2007 |
Last Updated: | 11/23/2021 |
Provider Practice Location
720 ESKENAZI AVE
INDIANAPOLIS
IN
462025187
Practice Location Phone/Fax
Phone: | 3178808484 |
Fax: |
Provider Mailing Location
52 S GLADSTONE AVE
INDIANAPOLIS
IN
462014514
Provider Mailing Phone/Fax
Phone: | 3174406349 |
Fax: |