Provider Demographics
NPI:1902461031
Name:SAVILLE, ALEXIS (LICSW)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:SAVILLE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:KELLY
Other - Last Name:MARCUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2200 LAKESHORE DR STE 150
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-8832
Mailing Address - Country:US
Mailing Address - Phone:205-871-6926
Mailing Address - Fax:
Practice Address - Street 1:2204 LAKESHORE DR STE 440
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-8857
Practice Address - Country:US
Practice Address - Phone:205-807-1740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-03
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4434C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical