Provider Demographics
NPI:1043599640
Name:GAY, AKIL (BHRS)
Entity Type:Individual
Prefix:
First Name:AKIL
Middle Name:
Last Name:GAY
Suffix:
Gender:M
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 E EUCALYPTUS AVE
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-3610
Mailing Address - Country:US
Mailing Address - Phone:580-747-5870
Mailing Address - Fax:
Practice Address - Street 1:2014 E EUCALYPTUS AVE
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-3610
Practice Address - Country:US
Practice Address - Phone:580-747-5870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health