Provider Demographics
NPI:1306737325
Name:KELLY, ALEXIS SIERRA LYNN (MS, LPC/MHSP)
Entity type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:SIERRA LYNN
Last Name:KELLY
Suffix:
Gender:F
Credentials:MS, LPC/MHSP
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:SIERRA LYNN
Other - Last Name:TERRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:815 PECAN GARDENS CIR E
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38122-2519
Mailing Address - Country:US
Mailing Address - Phone:423-534-9565
Mailing Address - Fax:
Practice Address - Street 1:8295 TOURNAMENT DR STE 201
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-8913
Practice Address - Country:US
Practice Address - Phone:888-374-5066
Practice Address - Fax:719-623-0165
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7687101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional