Provider Demographics
NPI:1598940702
Name:AKERS, ANITA GAYLE (LIMHP)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:GAYLE
Last Name:AKERS
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11069 I STREET
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137
Mailing Address - Country:US
Mailing Address - Phone:402-933-4411
Mailing Address - Fax:888-507-5931
Practice Address - Street 1:11069 I STREET
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137
Practice Address - Country:US
Practice Address - Phone:402-933-4411
Practice Address - Fax:888-507-5931
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-07
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE600464281Medicaid