Provider Demographics
NPI:1396513073
Name:CONNORS, ALEXIS RAE (LPC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:RAE
Last Name:CONNORS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4314 OLD WILLIAM PENN HWY STE 209
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1455
Mailing Address - Country:US
Mailing Address - Phone:724-961-1222
Mailing Address - Fax:
Practice Address - Street 1:4314 OLD WILLIAM PENN HWY STE 209
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1455
Practice Address - Country:US
Practice Address - Phone:724-961-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-13
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016564101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health