Provider Demographics
NPI:1821382417
Name:AKALIS, JENIVEE J (LCSW)
Entity Type:Individual
Prefix:
First Name:JENIVEE
Middle Name:J
Last Name:AKALIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-2050
Mailing Address - Country:US
Mailing Address - Phone:801-980-3676
Mailing Address - Fax:801-901-6364
Practice Address - Street 1:252 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-2050
Practice Address - Country:US
Practice Address - Phone:801-980-3676
Practice Address - Fax:801-901-6364
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2023-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7957629-35061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical