Alexis, Mikayla A

Alexis, Mikayla A is an sole proprietor health care provider with primary practice located at 25 Miracle Ln , Garden Valley ID 83622. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Alexis, Mikayla A can be contacted via phone (208) 462-0077.

Contact Information

Primary practice address
25 Miracle Ln Garden Valley ID 83622
Phone: (208) 462-0077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1710638556
LBN Legal business name Alexis, Mikayla A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2022
Last updated Sep 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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