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NPI Code Detail

MEDICARE: ALEXIS WILLIAMS

MEDICARE: ALEXIS WILLIAMS
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
1101YM0800XMental Health CounselorCAAR.CG.70116081WA
2343900000XNon-emergency Medical Transport (VAN)OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1202125400792OTHEROHLLC STATE LICENSE

General Provider Information

NPI Number : 1336810613
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS WILLIAMS
Provider Business Mailing Address
First Line : PO BOX 839
Second Line :
City : EVERETT
State : WA
Zip : 98206-0839
Country : US
Telephone Number : 425-259-3191
Fax Number :
Provider Business Practice Location Address
First Line : 1800 41ST ST STE S-310
Second Line :
City : EVERETT
State : WA
Zip : 98203-2355
Country : US
Telephone Number : 425-259-3191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2021
Last Update Date : 06/12/2026

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Directions to “ ALEXIS WILLIAMS ” Practice Location

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