Individual
MRS. ALEXIS BARICEV FOUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13150 PONCE DE LEON DR, OCEAN SPRINGS, MS 39564-2460
(228) 818-3201
Mailing address
1277 LOPEZ PL, BILOXI, MS 39530-3620
(228) 326-6618
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M5830
MS
1041C0700X
Clinical Social Worker
Primary
C5830
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018213
—
MS
Enumeration date
07/28/2016
Last updated
10/19/2020
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