Provider Demographics
NPI:1871251884
Name:GONZALEZ, ALEXYS F (LMHCA, ATRP,CST, CSE)
Entity Type:Individual
Prefix:
First Name:ALEXYS
Middle Name:F
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:LMHCA, ATRP,CST, CSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4017 WHITMAN AVE N APT 103
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7837
Mailing Address - Country:US
Mailing Address - Phone:203-947-6649
Mailing Address - Fax:
Practice Address - Street 1:4017 WHITMAN AVE N APT 103
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7837
Practice Address - Country:US
Practice Address - Phone:203-947-6649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No174H00000XOther Service ProvidersHealth Educator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health