Provider Demographics
NPI:1376270942
Name:BECKWITH, ALEXIS RAE (MA, NCC)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:RAE
Last Name:BECKWITH
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:RAE
Other - Last Name:BRADBURN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:840 SAINT MARGARET RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-1309
Mailing Address - Country:US
Mailing Address - Phone:412-609-6272
Mailing Address - Fax:
Practice Address - Street 1:17273 STATE ROUTE 104
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9718
Practice Address - Country:US
Practice Address - Phone:740-773-1141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional