Provider Demographics
NPI:1033864863
Name:FOOTE, ALEXIS MICHELLE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:MICHELLE
Last Name:FOOTE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3614 GARNET CT
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-5603
Mailing Address - Country:US
Mailing Address - Phone:361-944-2498
Mailing Address - Fax:
Practice Address - Street 1:3614 GARNET CT
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-5603
Practice Address - Country:US
Practice Address - Phone:361-944-2498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty