Provider Demographics
NPI:1912542127
Name:JOHNSON, LEXI LOUISE ALM (MS LMFT)
Entity Type:Individual
Prefix:
First Name:LEXI
Middle Name:LOUISE ALM
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:LEXI
Other - Middle Name:LOUISE
Other - Last Name:ALM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M S LAMFT
Mailing Address - Street 1:411 3RD ST N
Mailing Address - Street 2:
Mailing Address - City:WAITE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:56387-1177
Mailing Address - Country:US
Mailing Address - Phone:320-230-0611
Mailing Address - Fax:320-251-4175
Practice Address - Street 1:411 3RD ST N
Practice Address - Street 2:
Practice Address - City:WAITE PARK
Practice Address - State:MN
Practice Address - Zip Code:56387-1177
Practice Address - Country:US
Practice Address - Phone:320-230-0672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3709106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist