Provider Demographics
NPI:1740909977
Name:HEMEYER, ALEXIS (LAC, NCC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:HEMEYER
Suffix:
Gender:F
Credentials:LAC, NCC
Other - Prefix:
Other - First Name:LEXIE
Other - Middle Name:
Other - Last Name:HEMEYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2038 E ATKIN AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-1902
Mailing Address - Country:US
Mailing Address - Phone:435-414-3278
Mailing Address - Fax:
Practice Address - Street 1:2038 E ATKIN AVE
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84109-1902
Practice Address - Country:US
Practice Address - Phone:435-414-3278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-23
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-20409101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health