Provider Demographics
NPI:1790506491
Name:STRAIN, ALEXIS (LPC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:STRAIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ASMAT
Other - Middle Name:
Other - Last Name:JAFRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2501 CHATHAM RD
Mailing Address - Street 2:SUITE R
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-4188
Mailing Address - Country:US
Mailing Address - Phone:312-442-0270
Mailing Address - Fax:
Practice Address - Street 1:230 MARTIN AVE
Practice Address - Street 2:WEST
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6536
Practice Address - Country:US
Practice Address - Phone:630-848-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178020701101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health