Provider Demographics
NPI:1215492913
Name:DOUVILLE, ALEXIS (LPCC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:DOUVILLE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:ANTEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:217 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-1414
Mailing Address - Country:US
Mailing Address - Phone:419-806-6663
Mailing Address - Fax:
Practice Address - Street 1:217 W 3RD ST
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-1414
Practice Address - Country:US
Practice Address - Phone:419-806-6663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-06
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X, 171M00000X
OHE.2505178101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator