Provider Demographics
NPI:1255803698
Name:MERCER, ALEXIS ALPAGE (CRPA)
Entity type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:ALPAGE
Last Name:MERCER
Suffix:
Gender:F
Credentials:CRPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W 147TH ST APT 6F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-0095
Mailing Address - Country:US
Mailing Address - Phone:917-470-2170
Mailing Address - Fax:
Practice Address - Street 1:200 W 147TH ST APT 6F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-0095
Practice Address - Country:US
Practice Address - Phone:917-470-2170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)