Provider Demographics
NPI:1821627837
Name:BERMAN, ALEXIS (LMHC)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:BERMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6122 N STATE ROAD 7 APT 205
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3616
Mailing Address - Country:US
Mailing Address - Phone:954-232-4838
Mailing Address - Fax:
Practice Address - Street 1:6122 N STATE ROAD 7 APT 205
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-3616
Practice Address - Country:US
Practice Address - Phone:954-232-4838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17270101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health