IndividualActive
Alexis Faison, PHD, LAC
NPI 1568327997 · Counselor · Maricopa, AZ
Provider details
- NPI number
- 1568327997
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- PHD, LAC
- Sex
- Female
- Sole proprietor
- No
- License
- LAC22485 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
39889 W Ganly Way
Maricopa, AZ 85138-5939
Phone: (336) 293-3218
Approximate (ZIP-level) locationGet directions
Mailing address
39889 W Ganly Way
Maricopa, AZ 85138-5939
Registry dates
- Enumerated
- 2025-12-18
- Last updated
- 2025-12-18
- Certified
- 2025-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.