Provider Demographics
NPI:1033807144
Name:DAKAKE, ERIC
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:DAKAKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5203 HIDDEN BRANCHES CIR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4022
Mailing Address - Country:US
Mailing Address - Phone:404-202-1289
Mailing Address - Fax:
Practice Address - Street 1:500 SUGAR MILL RD STE 100A
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-6438
Practice Address - Country:US
Practice Address - Phone:771-770-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health