ALEXIS MARIE WOLF NPI 1912436189

NPI Information

NPI: 1912436189
Provider Name: ALEXIS MARIE WOLF
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
11810 TEDFORD ST
AUSTIN, TX
ZIP 78753
Phone: (512) 733-9704
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Alexis Marie Wolf is a professional counselor in Austin, TX. Alexis Marie Wolf NPI is 1912436189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11810 TEDFORD ST
AUSTIN, TX
ZIP 78753-130
Phone: (512) 733-9704

The enumeration date for this NPI number is 6/9/2017 and was last updated on 11/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MC60977139	WASHINGTON	No
2	101YP2500X	Counselor	Professional			No
3	101YP2500X	Counselor	Professional	85462	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	88-1484457	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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