Provider Demographics
NPI:1881435105
Name:ME MYSELF AND HEALING ALEXIS CAMPBELL COUNSELING SERVICES
Entity type:Organization
Organization Name:ME MYSELF AND HEALING ALEXIS CAMPBELL COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/ PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, EMDR-T, C-PD
Authorized Official - Phone:346-438-5756
Mailing Address - Street 1:2200 NORTH LOOP W STE NO344
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8009
Mailing Address - Country:US
Mailing Address - Phone:346-438-5756
Mailing Address - Fax:
Practice Address - Street 1:2200 NORTH LOOP W STE NO344
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8009
Practice Address - Country:US
Practice Address - Phone:346-438-5756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty