Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexis Gholston, AMFT

Individual provider Marriage & Family Therapist · NPI 1376339515

Alexis Gholston, AMFT is a Marriage & Family Therapist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

12424 Wilshire Blvd Ste 650
Los Angeles, CA 90025-1081
Phone: (937) 524-3942
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 149593 (CA)

Record details

NPI number1376339515
Entity typeIndividual (Type 1)
GenderFemale
Credentials AMFT
Sole proprietorYes
NPI enumeratedApril 15, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

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