Provider Demographics
NPI:1194861302
Name:KURVI, ANNIKKI M (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ANNIKKI
Middle Name:M
Last Name:KURVI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4275 FOXPOINTE DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323
Mailing Address - Country:US
Mailing Address - Phone:248-738-3921
Mailing Address - Fax:248-646-4756
Practice Address - Street 1:31000 LAHSER RD
Practice Address - Street 2:STE 6
Practice Address - City:BEVERLY HILLS
Practice Address - State:MI
Practice Address - Zip Code:48025
Practice Address - Country:US
Practice Address - Phone:248-646-6227
Practice Address - Fax:248-646-4756
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010334791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
278588OtherVALUE OPTION
MI8008913220OtherBLUE CROSS BLUE SHIELD MI