Healthcare Provider Details

I. General information

NPI: 1205730504
Provider Name (Legal Business Name): ALEXIS C FORD PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 RIVER OAKS RD W
ELMWOOD LA
70123-2163
US

IV. Provider business mailing address

3616 S I 10 SERVICE RD W STE 200
METAIRIE LA
70001-1874
US

V. Phone/Fax

Practice location:
  • Phone: 504-838-5215
  • Fax:
Mailing address:
  • Phone: 504-838-5215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPLC11303
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: