Provider Demographics
NPI:1790462570
Name:DUGGAN, ALEXIS (MS, LPC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 RIDGE RD APT 5204
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-4327
Mailing Address - Country:US
Mailing Address - Phone:903-224-5688
Mailing Address - Fax:
Practice Address - Street 1:2600 RIDGE RD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-5511
Practice Address - Country:US
Practice Address - Phone:903-224-5688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPMC4535101YM0800X
TX86641101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health