Provider Demographics
NPI:1164714598
Name:AMY F. HANSON-AKINS LLC
Entity Type:Organization
Organization Name:AMY F. HANSON-AKINS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:F
Authorized Official - Last Name:HANSON-AKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LISW-S, CEDS
Authorized Official - Phone:419-575-0487
Mailing Address - Street 1:25428 SADDLEBROOK BLVD
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-6705
Mailing Address - Country:US
Mailing Address - Phone:419-575-0487
Mailing Address - Fax:419-536-1304
Practice Address - Street 1:1070 COMMERCE DR
Practice Address - Street 2:BUILDING ONE, SUITE 204
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5236
Practice Address - Country:US
Practice Address - Phone:419-575-0487
Practice Address - Fax:419-874-4691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-0009429251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health