Healthcare Provider Details

I. General information

NPI: 1336761964
Provider Name (Legal Business Name): ALEXIS KEIFE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

695 SIERRA ROSE DR
RENO NV
89511-2060
US

IV. Provider business mailing address

695 SIERRA ROSE DR
RENO NV
89511-2060
US

V. Phone/Fax

Practice location:
  • Phone: 775-453-4143
  • Fax:
Mailing address:
  • Phone: 775-453-4143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMI4720
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: