Individual
ALEXIS G SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLPC-MHSP, NCC
Contact information
Practice address
2610 AUTUMN AVE, MEMPHIS, TN 38112-2739
(901) 451-9113
Mailing address
1900 MIGNON AVE, MEMPHIS, TN 38107-5115
(615) 969-6367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4782
TN
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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