MEDICARE: AKILAH NASIYA MCGHEE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC.0014153	CO

General Provider Information

NPI Number	:	1194082453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKILAH NASIYA MCGHEE LPC

Provider Business Mailing Address
First Line	:	860 VONDELPARK DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4054
Country	:	US
Telephone Number	:	479-409-2904
Fax Number	:

Provider Business Practice Location Address
First Line	:	860 VONDELPARK DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4054
Country	:	US
Telephone Number	:	479-409-2904
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2012
Last Update Date	:	07/08/2024

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