Healthcare Provider Details

I. General information

NPI: 1992281034
Provider Name (Legal Business Name): AKEELA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2018
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2804 BERING ST
ANCHORAGE AK
99503-3820
US

IV. Provider business mailing address

360 W BENSON BLVD STE 300
ANCHORAGE AK
99503-3953
US

V. Phone/Fax

Practice location:
  • Phone: 907-561-5266
  • Fax: 877-909-7763
Mailing address:
  • Phone: 907-433-7021
  • Fax: 907-433-7050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number274070
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number274070
License Number StateAK

VIII. Authorized Official

Name: COURTNEY DONOVAN
Title or Position: CEO
Credential:
Phone: 907-565-1200