Provider Demographics
NPI:1346889417
Name:BECKFORD, ALEXIS NYELAH (LMSW)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:NYELAH
Last Name:BECKFORD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 GLENLAKE PARKWAY
Mailing Address - Street 2:SUITE 130 #1084
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328
Mailing Address - Country:US
Mailing Address - Phone:404-442-5742
Mailing Address - Fax:404-567-6663
Practice Address - Street 1:10 GLENLAKE PARKWAY
Practice Address - Street 2:SUITE 130 #1084
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328
Practice Address - Country:US
Practice Address - Phone:404-442-5742
Practice Address - Fax:404-567-6663
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-06
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW010597104100000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health