Provider Demographics
NPI:1497543201
Name:PARRISH, ALEXIS (IBCLC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:PARRISH
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 ALLISON CT
Mailing Address - Street 2:
Mailing Address - City:KINGS MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28086-2604
Mailing Address - Country:US
Mailing Address - Phone:910-759-0022
Mailing Address - Fax:
Practice Address - Street 1:506 ALLISON CT
Practice Address - Street 2:
Practice Address - City:KINGS MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28086-2604
Practice Address - Country:US
Practice Address - Phone:910-759-0022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL-309211174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN