Individual
ALEXIS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2020 RAYBROOK ST SE STE 104C, GRAND RAPIDS, MI 49546-7717
(616) 325-3389
Mailing address
18 CALEDONIA ST NE, GRAND RAPIDS, MI 49505-4902
(616) 916-4847
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401225360
MI
101YP2500X
Professional Counselor
6451023038
MI
Other
Enumeration date
06/23/2023
Last updated
08/14/2025
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