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General NPI Number Information
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NPI Number | 1598572976
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Entity Type | Organization
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Legal Business Name | ALEXIS FLOWERS LMSW, LLC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 726 N LAKEVIEW AVE
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City | STURGIS
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State | MI
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Zip | 49091-1207
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Country | US
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Telephone | 269-689-9104
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Fax |
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Provider Business Mailing Address
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Address Line | 126 EAST KILGORE ROAD STE. 400 #444
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City | PORTAGE
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State | MI
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Zip | 49002
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Country | US
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Telephone | 269-689-0800
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER/LMSW
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Name | ALEXIS FLOWERS
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Credential | LMSW
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Telephone | 269-689-9104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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