Provider Demographics
NPI:1033084215
Name:IVY, ALEXIS PAGE (LPC, CRC)
Entity type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:PAGE
Last Name:IVY
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 LYNNHAVEN PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7325
Mailing Address - Country:US
Mailing Address - Phone:757-652-7213
Mailing Address - Fax:
Practice Address - Street 1:760 LYNNHAVEN PKWY STE 200
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7325
Practice Address - Country:US
Practice Address - Phone:757-652-7213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701015464101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional