Healthcare Provider Details

I. General information

NPI: 1720327158
Provider Name (Legal Business Name): TROY ALAN AKINS PH.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2013
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E GRANADA BLVD STE 103
ORMOND BEACH FL
32176-6692
US

IV. Provider business mailing address

319 OAK FERN CIR
ORMOND BEACH FL
32174-4875
US

V. Phone/Fax

Practice location:
  • Phone: 307-257-2331
  • Fax: 307-670-8042
Mailing address:
  • Phone: 307-257-2331
  • Fax: 307-670-8024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH24567
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1682
License Number StateWY
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: