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Alexis W Incorporated
Adolescent and Children Mental Health Clinic/Center in Caledonia, Michigan
NPI 1902430119

Alexis W Incorporated is an Adolescent and Children Mental Health Clinic/Center based in Caledonia, MI and is specialized in Adolescent and Children Mental Health. Alexis W Incorporated practices in Caledonia, MI. The NPI Number for Alexis W Incorporated is 1902430119 and holds a License No. (Michigan).

The current practice location address for Alexis W Incorporated is 7150 Kalamazoo Ave Se Ste C, Caledonia, MI and can be reached out via phone at 616-219-0159 and via fax at 616-219-0124.

Location: 7150 Kalamazoo Ave Se Ste C, Caledonia, MI, 49316-9197
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902430119
Provider Name
Alexis W Incorporated
Credential
Provider Entity Type
Organization
Address
7150 Kalamazoo Ave Se Ste C, Caledonia, MI, 49316-9197
Phone Number
616-219-0159
Fax Number
616-219-0124
Provider Enumeration Date
02/26/2020
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1528479136 01 MI INDIVIDUAL NPI OF PRESIDENT
6301015925 01 MI LICENSE #
institution
Provider Business Practice Location Address Details
Address
7150 Kalamazoo Ave Se Ste C
City
Caledonia
State
Michigan
Zip
49316-9197
Phone Number
616-219-0159
Fax Number
616-219-0124
person
Provider Business Mailing Address Details
Address
7150 Kalamazoo Ave Se Ste C
City
Caledonia
State
Michigan
Zip
49316-9197
Phone Number
616-219-0159
Fax Number
616-219-0124
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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