Provider Demographics
NPI:1134713175
Name:KEMP, ALEXIS (CERTLIAISONADVOCATE)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:KEMP
Suffix:
Gender:F
Credentials:CERTLIAISONADVOCATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6503 MARINWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053-4359
Mailing Address - Country:US
Mailing Address - Phone:832-908-0590
Mailing Address - Fax:
Practice Address - Street 1:6503 MARINWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-4359
Practice Address - Country:US
Practice Address - Phone:832-908-0590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-21
Last Update Date:2021-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2020171136101YP2500X, 102X00000X, 175T00000X
TX171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator