| Alexis Cooke, | |
|
2271 Alpine Blvd Ste A, Alpine, CA 91901 | |
| (928) 230-8853 | |
| Not Available |
| Full Name | Alexis Cooke |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2271 Alpine Blvd Ste A, Alpine, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346055928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 130506 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | LMFT153824 (California) | Primary |
| Entity Name | Fusion Care Group A Psychological Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275177982 PECOS PAC ID: 8921433590 Enrollment ID: O20200109000932 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Cooke, 1806 Irvine Ave, Newport Beach, CA 92660-3707 Ph: (928) 230-8533 | Alexis Cooke, 2271 Alpine Blvd Ste A, Alpine, CA 91901 Ph: (928) 230-8853 |
Molly Downs-stoller, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2710 Alpine Blvd Ste K, #105, Alpine, CA 91901 Phone: 619-627-5004 | |
Tami Mason, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 Fax: 619-659-9782 | |
Mrs. Valeria Moore-medina, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 888-688-0248 | |
Ms. Kathleen Grace Muir, MFTI Couples Therapy Medicare: Medicare Enrolled Practice Location: 2710 Alpine Blvd, Alpine, CA 91901 Phone: 619-873-7738 Fax: 619-324-4154 | |
Ime Attah, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 619-448-1216 | |
Ms. Carole Ann Ross, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1851 Tavern Ct, Alpine, CA 91901 Phone: 619-823-0101 |