Healthcare Provider Details

I. General information

NPI: 1558009704
Provider Name (Legal Business Name): AKILI MAYAH MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5625 DILLARD DR
CARY NC
27518-9226
US

IV. Provider business mailing address

8117 GREEN LANTERN ST APT 307
RALEIGH NC
27613-4566
US

V. Phone/Fax

Practice location:
  • Phone: 919-431-7400
  • Fax: 919-694-7758
Mailing address:
  • Phone: 402-230-5861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: