Provider Demographics
NPI:1861832651
Name:AKINS, NOELLE K (MA, PC-CR)
Entity Type:Individual
Prefix:MS
First Name:NOELLE
Middle Name:K
Last Name:AKINS
Suffix:
Gender:F
Credentials:MA, PC-CR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1655 W. MARKET ST.
Mailing Address - Street 2:SUITE 440
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313
Mailing Address - Country:US
Mailing Address - Phone:330-867-7332
Mailing Address - Fax:330-867-9570
Practice Address - Street 1:1655 W. MARKET ST.
Practice Address - Street 2:SUITE 440
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313
Practice Address - Country:US
Practice Address - Phone:330-867-7332
Practice Address - Fax:330-867-9570
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.10000471101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH$$$$$$$$$00OtherBUREAU OF WORKERS COMP PROVIDER NUMBER