Individual provider · Type 1 NPI

Alexis Footman

Mental Health Counselor · Melbourne, FL

NPI number 1871286476 Active

Practice location

3040 N Wickham Rd Ste 5
Melbourne, FL 32935-2369

Call (321) 610-4602 Map

Mailing address

3135 Shady Dell Ln Apt 215
Melbourne, FL 32935-6268

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1871286476

Alexis Footman's National Provider Identifier is 1871286476, issued on May 30, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Melbourne, FL. The record was last updated on May 30, 2023.