Basic Information
Provider Information
NPI: 1285179937
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RION
FirstName: ALEXIS
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: LMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 2000
Address2:  
City: HUDSON
State: NY
PostalCode: 125342000
CountryCode: US
TelephoneNumber: 5186978010
FaxNumber: 5186978011
Practice Location
Address1: 71 PROSPECT AVE
Address2:  
City: HUDSON
State: NY
PostalCode: 125342907
CountryCode: US
TelephoneNumber: 5186978010
FaxNumber: 5186978011
Other Information
ProviderEnumerationDate: 01/04/2017
LastUpdateDate: 01/04/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X005941 Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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