Provider Demographics
NPI:1932709482
Name:WARFORD, ALEXXIS NICOLE
Entity Type:Individual
Prefix:
First Name:ALEXXIS
Middle Name:NICOLE
Last Name:WARFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALEXXIS
Other - Middle Name:NICOLE
Other - Last Name:MERCADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 173038
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76003-3038
Mailing Address - Country:US
Mailing Address - Phone:817-516-9100
Mailing Address - Fax:817-516-9102
Practice Address - Street 1:505 W UNIVERSITY AVE STE 105
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-6643
Practice Address - Country:US
Practice Address - Phone:512-876-2263
Practice Address - Fax:817-516-9102
Is Sole Proprietor?:No
Enumeration Date:2020-10-26
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health