=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184575409
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALEXIS LEE ALLISON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2026
-----------------------------------------------------
Last Update Date | 02/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 141 E MAIN ST
-----------------------------------------------------
City | EVERETT
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15537-1259
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-283-5535
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2054 E FAIRWAY RIDGE DR
-----------------------------------------------------
City | ALUM BANK
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15521-8267
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-979-8466
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------