Provider Demographics
NPI:1275372328
Name:SHERMAN, ALEXIS ELAINE
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:ELAINE
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:ELAINE
Other - Last Name:KAROLAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21600 NOVI RD STE 800
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5608
Mailing Address - Country:US
Mailing Address - Phone:734-406-6111
Mailing Address - Fax:
Practice Address - Street 1:21600 NOVI RD STE 800
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5608
Practice Address - Country:US
Practice Address - Phone:734-406-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician