MEDICARE: WHITNEY MARIE BEARD AKINS

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	:	1720859275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY MARIE BEARD AKINS

Provider Business Mailing Address
First Line	:	170 CONDOR VW
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76087-4051
Country	:	US
Telephone Number	:	337-515-1760
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 FORT WORTH HWY
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-4626
Country	:	US
Telephone Number	:	337-515-1760
Fax Number	:

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

Provider Enumeration Date	:	01/12/2024
Last Update Date	:	01/12/2024

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Directions to “ WHITNEY MARIE BEARD AKINS ” Practice Location

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