Individual
ALEXIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4653 E MAIN ST, COLUMBUS, OH 43213-3298
(614) 875-2371
Mailing address
4653 E MAIN ST, COLUMBUS, OH 43213-3298
(614) 875-2371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2405968
OH
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C.2204097-TRNE
COUNSELOR, SOCIAL WORKER AND MFT BOARD
—
Enumeration date
06/08/2022
Last updated
04/09/2026
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