Provider Demographics
NPI:1427729045
Name:WILLIAMS-URQUHART, ALEXIS (MFT)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:WILLIAMS-URQUHART
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 N GREEN VALLEY PKWY STE 9B
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-5991
Mailing Address - Country:US
Mailing Address - Phone:725-444-3803
Mailing Address - Fax:702-441-0356
Practice Address - Street 1:1701 N GREEN VALLEY PKWY STE 9B
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-5991
Practice Address - Country:US
Practice Address - Phone:725-444-3803
Practice Address - Fax:702-441-0356
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF001304101YM0800X
UT12466823-3902101YM0800X, 106H00000X
NV4193-R106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health