Individual
ALEXIS R DANDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8626 AIRWAYS BLVD, SOUTHAVEN, MS 38671-2603
(662) 772-5937
(662) 772-5940
Mailing address
8626 AIRWAYS BLVD, SOUTHAVEN, MS 38671-2603
(662) 772-5937
(662) 772-5940
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
P1166
MS
101YP2500X
Professional Counselor
Primary
3441
MS
101YP2500X
Professional Counselor
P1166
MS
Other
Enumeration date
07/24/2024
Last updated
04/23/2026
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