Individual
ALEXIS ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPMC
Contact information
Practice address
86 AMITY ST APT 2R, BROOKLYN, NY 11201-6015
(248) 808-2896
Mailing address
86 AMITY ST APT 2R, BROOKLYN, NY 11201-6015
(248) 808-2896
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P113009
NY
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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