Provider Demographics
NPI:1821461161
Name:AKRE, MARILYNN (LMHC, NCC, TFCBT)
Entity Type:Individual
Prefix:
First Name:MARILYNN
Middle Name:
Last Name:AKRE
Suffix:
Gender:F
Credentials:LMHC, NCC, TFCBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 WALL ST STE 105
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-2599
Mailing Address - Country:US
Mailing Address - Phone:734-660-6152
Mailing Address - Fax:
Practice Address - Street 1:502 WALL ST STE 105
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2599
Practice Address - Country:US
Practice Address - Phone:734-660-6152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-09
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI39004182A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health