Provider Demographics
NPI:1790432037
Name:CARNES, ALEXIS (LPC)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:CARNES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:SCHAAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2810 57TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-5607
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2810 57TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-5607
Practice Address - Country:US
Practice Address - Phone:903-271-2860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80427101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health