MEDICARE: MISS MEREDITH ASHLEY AKIN 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	64293	TX

General Provider Information

NPI Number	:	1912204900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MEREDITH ASHLEY AKIN LPC

Provider Business Mailing Address
First Line	:	1501 RIVIERA CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-5528
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 RIVIERA CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-5528
Country	:	US
Telephone Number	:	817-680-7736
Fax Number	:

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

Provider Enumeration Date	:	02/28/2011
Last Update Date	:	02/28/2011

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