Provider Demographics
NPI:1356085575
Name:WINLAND, ALEXIS (CDCA)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:WINLAND
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43718-0368
Mailing Address - Country:US
Mailing Address - Phone:740-484-4141
Mailing Address - Fax:
Practice Address - Street 1:116 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:OH
Practice Address - Zip Code:43718-9593
Practice Address - Country:US
Practice Address - Phone:740-484-4141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator