Individual
ALEXIS LARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
150 ROBIN CIR, GREENWOOD, MS 38930-6906
(662) 392-5627
Mailing address
150 ROBIN CIR, GREENWOOD, MS 38930-6906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-1382
MS
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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