Provider Demographics
NPI:1225765837
Name:ARVANIS, LEXUS (LPC)
Entity type:Individual
Prefix:
First Name:LEXUS
Middle Name:
Last Name:ARVANIS
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:LEXUS
Other - Middle Name:
Other - Last Name:MENK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 SCHOOL AVE
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-1350
Mailing Address - Country:US
Mailing Address - Phone:940-923-6502
Mailing Address - Fax:
Practice Address - Street 1:10 SCHOOL AVE
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-1350
Practice Address - Country:US
Practice Address - Phone:940-923-6502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-03
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7816101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional