Provider Demographics
NPI:1184177867
Name:FOUST, ALEXIS BARICEV (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:BARICEV
Last Name:FOUST
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1277 LOPEZ PL
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39530-3620
Mailing Address - Country:US
Mailing Address - Phone:228-326-6618
Mailing Address - Fax:
Practice Address - Street 1:13150 PONCE DE LEON DR
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-2460
Practice Address - Country:US
Practice Address - Phone:228-818-3201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-28
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSM5830104100000X
MSC58301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00018213Medicaid