Provider Demographics
NPI:1114698198
Name:ARZUAGA, ALEXIS (LCMHCA)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:ARZUAGA
Suffix:
Gender:M
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50101 GOVERNORS DR STE 280
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9517
Mailing Address - Country:US
Mailing Address - Phone:919-808-6655
Mailing Address - Fax:
Practice Address - Street 1:50101 GOVERNORS DR STE 280
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-9517
Practice Address - Country:US
Practice Address - Phone:919-448-4006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional