Provider Demographics
NPI:1750056248
Name:EARLY, ALEXIS SAMPRATT (LCSW, ACM-SW)
Entity Type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:SAMPRATT
Last Name:EARLY
Suffix:
Gender:F
Credentials:LCSW, ACM-SW
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:DENISE
Other - Last Name:SAMPRATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8402 TURNBERRY ST
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-8325
Mailing Address - Country:US
Mailing Address - Phone:214-968-1833
Mailing Address - Fax:
Practice Address - Street 1:1201 E 9TH STREET
Practice Address - Street 2:DOMICILLARY
Practice Address - City:BONHAM
Practice Address - State:TX
Practice Address - Zip Code:75418
Practice Address - Country:US
Practice Address - Phone:800-924-8387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX329331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical