MEDICARE: MS. LATRIVIA AKINS PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	4704303679	MI
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4704303679	MI
3	163WP0808X	Psychiatric/Mental Health Registered Nurse	927672	TX
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1052572	TX

General Provider Information

NPI Number	:	1356734586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LATRIVIA AKINS PMHNP

Provider Business Mailing Address
First Line	:	3733 WESTHEIMER RD STE 1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5226
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3733 WESTHEIMER RD STE 1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5226
Country	:	US
Telephone Number	:	832-345-6456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2015
Last Update Date	:	06/17/2026

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