Provider Demographics
NPI:1720321011
Name:PEAK, ALEXIS M (LIMHP)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:M
Last Name:PEAK
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4611 S 96TH ST STE 266
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-1250
Mailing Address - Country:US
Mailing Address - Phone:402-917-0433
Mailing Address - Fax:
Practice Address - Street 1:4611 S 96TH ST STE 266
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1250
Practice Address - Country:US
Practice Address - Phone:402-917-0433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1076101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health