Provider Demographics
NPI:1750070793
Name:HOUSE, ALEXUS COLLEEN (LMHC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:ALEXUS
Middle Name:COLLEEN
Last Name:HOUSE
Suffix:
Gender:F
Credentials:LMHC ASSOCIATE
Other - Prefix:
Other - First Name:LEXIE
Other - Middle Name:COLLEEN
Other - Last Name:HOUSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC ASSOCIATE
Mailing Address - Street 1:5405 VILLAGE PARK DR SE APT 2724
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-6634
Mailing Address - Country:US
Mailing Address - Phone:210-238-4193
Mailing Address - Fax:
Practice Address - Street 1:15965 NE 85TH ST STE 101
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3593
Practice Address - Country:US
Practice Address - Phone:425-868-5777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61432290101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health