Healthcare Provider Details

I. General information

NPI: 1174902357
Provider Name (Legal Business Name): JAMI AKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2015
Last Update Date: 04/28/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24230 KARIM BLVD STE 100
NOVI MI
48375-2960
US

IV. Provider business mailing address

2738 HERON HILLS DR
WALLED LAKE MI
48390-5479
US

V. Phone/Fax

Practice location:
  • Phone: 248-745-4900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801103727
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: