Healthcare Provider Details

I. General information

NPI: 1811673957
Provider Name (Legal Business Name): ALEXIS JULYAN MCGEE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALEXIS JULYAN SMITH LMSW

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8285 S SAGINAW ST STE 102
GRAND BLANC MI
48439-2436
US

IV. Provider business mailing address

1080 DEVENISH LN
FLINT MI
48532-3525
US

V. Phone/Fax

Practice location:
  • Phone: 810-626-5191
  • Fax:
Mailing address:
  • Phone: 774-207-8024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number19327
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6851116998
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: