| Lexe Llc | |
|
2718 Centennial Rd Toledo OH 43617-1829 | |
| (419) 680-2221 | |
| Not Available |
| Full Name | Lexe Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2718 Centennial Rd, Toledo, Ohio |
| Authorized Official Name and Position | Alexis Michele Wooten (PMHNP) |
| Authorized Official Contact | 4196802221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexe Llc 2505 Carriage Dr Toledo OH 43615-2728 Ph: (419) 680-2221 | Lexe Llc 2718 Centennial Rd Toledo OH 43617-1829 Ph: (419) 680-2221 |
| NPI Number | 1588343313 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 07/18/2023 |
| Certification Date | 07/18/2023 |
| Medicare PECOS PAC ID | 3476907197 |
|---|---|
| Medicare Enrollment ID | O20230929000974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588343313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Alexis Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295157675 PECOS PAC ID: 3375774904 Enrollment ID: I20140325001557 |
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