IndividualActive
Alexis Holly
NPI 1669006532 · Mental Health Counselor · Brandon, MS
Provider details
- NPI number
- 1669006532
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
Practice location
613 Marquette Rd
Brandon, MS 39042-3038
Phone: (601) 824-1692
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 88
Brandon, MS 39043-0088
Registry dates
- Enumerated
- 2020-02-28
- Last updated
- 2023-02-22
- Certified
- 2023-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.