Provider Demographics
NPI:1215625629
Name:CALIENDO, ALEXIS (LPC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:CALIENDO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 W 75TH ST STE 120-293
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-6193
Mailing Address - Country:US
Mailing Address - Phone:708-566-6521
Mailing Address - Fax:
Practice Address - Street 1:924 W 75TH ST STE 120-293
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-6193
Practice Address - Country:US
Practice Address - Phone:708-566-6521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-25
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178018352101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional