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NPI 1619784899

NPI 1619784899 : ALEXI, INC. : LYNCHBURG, VA

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General NPI Number Information
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    NPI Number           |    1619784899
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALEXI, INC. 
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Dates
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    Enumeration Date     |    12/12/2024
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    Last Update Date     |    12/12/2024
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Provider Practice Location Address
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    Address Line         |    3300 ODD FELLOWS RD UNIT 12134 
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    City                 |    LYNCHBURG
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    State                |    VA
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    Zip                  |    24506-9080
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    Country              |    US
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    Telephone            |    434-993-8175
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3300 ODD FELLOWS RD UNIT 12134 
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    City                 |    LYNCHBURG
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    State                |    VA
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    Zip                  |    24506-9080
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    Country              |    US
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    Telephone            |    434-993-8175
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |    DR. KATIE  ASKREN 
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    Credential           |    PHD, LPC, LSATP, NCC
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    Telephone            |    434-993-8175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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