Healthcare Provider Details

I. General information

NPI: 1902461031
Provider Name (Legal Business Name): ALEXIS SAVILLE LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXIS KELLY MARCUS

II. Dates (important events)

Enumeration Date: 05/03/2019
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 LAKESHORE DR STE 302
BIRMINGHAM AL
35209-8854
US

IV. Provider business mailing address

3102 WHITEHALL RD
BIRMINGHAM AL
35209-4017
US

V. Phone/Fax

Practice location:
  • Phone: 205-547-2023
  • Fax:
Mailing address:
  • Phone: 205-547-2023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4434C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: