| Alexis Ashby Pllc | |
|
725 N Mill St Plymouth MI 48170-1423 | |
| (734) 812-2289 | |
| Not Available |
| Full Name | Alexis Ashby Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 725 N Mill St, Plymouth, Michigan |
| Authorized Official Name and Position | Alexis Ashby (LMSW) |
| Authorized Official Contact | 7348122289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Ashby Pllc 9216 Mayflower Dr Plymouth MI 48170-3989 Ph: (734) 812-2289 | Alexis Ashby Pllc 725 N Mill St Plymouth MI 48170-1423 Ph: (734) 812-2289 |
| NPI Number | 1255069803 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Medicare PECOS PAC ID | 4789060963 |
|---|---|
| Medicare Enrollment ID | O20220927000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255069803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alexis Ashby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770899601 PECOS PAC ID: 4587040761 Enrollment ID: I20220929001412 |
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