Provider Demographics
NPI:1417409236
Name:HUTH, ALEXIS LYNN (AMFT)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:LYNN
Last Name:HUTH
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9308 MEADOWHEATH DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-2826
Mailing Address - Country:US
Mailing Address - Phone:408-710-3035
Mailing Address - Fax:
Practice Address - Street 1:9308 MEADOWHEATH DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-2826
Practice Address - Country:US
Practice Address - Phone:408-710-3035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-27
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA129162106H00000X
101YA0400X
CA113999106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)