Healthcare Provider Details

I. General information

NPI: 1336681212
Provider Name (Legal Business Name): AKEELA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2016
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 JORDAN AVE
JUNEAU AK
99801-8050
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 907-565-1200
  • Fax: 907-258-6052
Mailing address:
  • Phone: 907-565-1200
  • Fax: 907-258-6052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number274070
License Number StateAK

VIII. Authorized Official

Name: COURTNEY DONOVAN
Title or Position: CEO
Credential:
Phone: 907-433-7040