Provider Demographics
NPI:1124573241
Name:SCHNEIDER, ALEXIS ANN (LLPC)
Entity Type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:ANN
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 N CEDAR ST
Mailing Address - Street 2:200B
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-5334
Mailing Address - Country:US
Mailing Address - Phone:720-500-5433
Mailing Address - Fax:
Practice Address - Street 1:1106 N CEDAR ST
Practice Address - Street 2:200B
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-5334
Practice Address - Country:US
Practice Address - Phone:720-500-5433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-18
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015081101YP2500X
MI51630225800000X
MI00118070225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor