MEDICARE: ALEXIS WILLIAMS LPCC, CRC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	C.2406602	OH
2	101YM0800X	Mental Health Counselor	LPCC.0019312	CO

General Provider Information

NPI Number	:	1477284123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS WILLIAMS LPCC, CRC, NCC

Provider Business Mailing Address
First Line	:	19300 DETROIT RD STE 207
Second Line	:
City	:	ROCKY RIVER
State	:	OH
Zip	:	44116-1846
Country	:	US
Telephone Number	:	661-309-7439
Fax Number	:

Provider Business Practice Location Address
First Line	:	19300 DETROIT RD STE 207
Second Line	:
City	:	ROCKY RIVER
State	:	OH
Zip	:	44116-1846
Country	:	US
Telephone Number	:	661-309-7439
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2022
Last Update Date	:	02/07/2026

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