Provider Demographics
NPI:1134014186
Name:ABRAM, ALEXIS ALEACE
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:ALEACE
Last Name:ABRAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 SW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522-1063
Mailing Address - Country:US
Mailing Address - Phone:531-289-0729
Mailing Address - Fax:
Practice Address - Street 1:1120 SW 27TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522-1063
Practice Address - Country:US
Practice Address - Phone:531-289-0729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily