IndividualActive
Alexis Ethridge, MA, RMHCI
NPI 1992541445 · Mental Health Counselor · Daytona Beach, FL
Provider details
- NPI number
- 1992541445
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA, RMHCI
- Sex
- Female
- Sole proprietor
- Yes
- License
- IMH26000 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1530 Cornerstone Blvd
Daytona Beach, FL 32117-7128
Phone: (904) 855-9169
Approximate (ZIP-level) locationGet directions
Mailing address
3606 Grunthal St
Jacksonville, FL 32209-3807
Registry dates
- Enumerated
- 2024-07-03
- Last updated
- 2024-07-03
- Certified
- 2024-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.