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NPI Code Detail

MEDICARE: ALEXIS D MUSGROVE

MEDICARE: ALEXIS D MUSGROVE
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
1101YP2500XProfessional CounselorE.2606564OH

General Provider Information

NPI Number : 1922771997
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS D MUSGROVE
Provider Business Mailing Address
First Line : 3221 LODWICK DR NW APT 5
Second Line :
City : WARREN
State : OH
Zip : 44485-1562
Country : US
Telephone Number : 412-863-8966
Fax Number :
Provider Business Practice Location Address
First Line : 165 E PARK AVE
Second Line :
City : NILES
State : OH
Zip : 44446-2352
Country : US
Telephone Number : 330-544-8005
Fax Number : 330-544-9379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2021
Last Update Date : 03/04/2026

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Directions to “ ALEXIS D MUSGROVE ” Practice Location

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