Provider Demographics
NPI:1720237191
Name:KAHOUD, ALEXIS JO (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:JO
Last Name:KAHOUD
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 1:26 HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2408
Mailing Address - Country:US
Mailing Address - Phone:201-452-0737
Mailing Address - Fax:
Practice Address - Street 1:26 HARVARD ST
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2408
Practice Address - Country:US
Practice Address - Phone:201-452-0737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker