Provider Demographics
NPI:1962832584
Name:JAMES, ALEXIS (LMHC)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:JAMES
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 1:2363 JAMES ST # 652
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13206-2840
Mailing Address - Country:US
Mailing Address - Phone:904-404-5400
Mailing Address - Fax:
Practice Address - Street 1:416 MCCLENNAN DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NY
Practice Address - Zip Code:13066
Practice Address - Country:US
Practice Address - Phone:904-404-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-18
Last Update Date:2024-04-12
Deactivation Date:2018-07-19
Deactivation Code:
Reactivation Date:2019-01-16
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health