MEDICARE: AK COUNSELING, LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1689544900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AK COUNSELING, LLC

Provider Business Mailing Address
First Line	:	1235 EAST BLVD # 1645
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5870
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1235 EAST BLVD # 1645
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5870
Country	:	US
Telephone Number	:	850-653-5542
Fax Number	:

Authorized Official
Title or Position	:	LICENSED MENTAL HEALTH COUNSELOR
Name	:	ALLIE KIRVIN
Credential	:
Telephone Number	:	850-653-5542

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	12/04/2025

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