Organization
ALEXIS W INCORPORATED
Active
Other names
Cardinal Counseling & Assessment
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXIS KARAMOL MA LLP (PRESIDENT)
(616) 915-4213
Entity
Organization
Contact information
Practice address
7150 KALAMAZOO AVE SE STE C, CALEDONIA, MI 49316-9197
(616) 219-0159
(616) 219-0124
Mailing address
7150 KALAMAZOO AVE SE STE C, CALEDONIA, MI 49316-9197
(616) 219-0159
(616) 219-0124
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528479136
INDIVIDUAL NPI OF PRESIDENT
MI
01
—
6301015925
LICENSE #
MI
Enumeration date
02/26/2020
Last updated
03/19/2024
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