Healthcare Provider Details

I. General information

NPI: 1366712408
Provider Name (Legal Business Name): AMY AKINS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2012
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24100 CHAGRIN BOULEVARD SUITE 400
BEACHWOOD OH
44122
US

IV. Provider business mailing address

25700 SCIENCE PARK DRIVE, SUITE 200 LANKMARK CENTRE.
BEACHWOOD OH
44122
US

V. Phone/Fax

Practice location:
  • Phone: 800-342-6111
  • Fax:
Mailing address:
  • Phone: 216-831-1040
  • Fax: 216-831-2667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0500677
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: