MEDICARE: ALEXIS CONYERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1154288710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS CONYERS

Provider Business Mailing Address
First Line	:	5205 E CORTLAND BLVD APT 341
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86004-9325
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3009 N WEST ST
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86004-3444
Country	:	US
Telephone Number	:	928-719-4009
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ ALEXIS CONYERS ” Practice Location

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