Individual
ALEXIS G HEITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LCDP
Contact information
Practice address
4705A OLD POST RD, CHARLESTOWN, RI 02813-1819
(401) 364-7705
(401) 364-9104
Mailing address
4705A OLD POST RD, CHARLESTOWN, RI 02813-1819
(401) 364-7705
(401) 364-9104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00470
RI
101YM0800X
Mental Health Counselor
Primary
MHC00431
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134454556
BCBSRI
RI
01
—
3039767
CIGNA
RI
01
—
461277
MHN
RI
05
—
AH78980
—
RI
Enumeration date
10/04/2009
Last updated
03/28/2013
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