Provider Demographics
NPI:1184428047
Name:AKERS, MARISSA DEE (MA, LCMHC-A)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:DEE
Last Name:AKERS
Suffix:
Gender:
Credentials:MA, LCMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2306 WRIGHTSVILLE AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-2492
Mailing Address - Country:US
Mailing Address - Phone:910-877-1598
Mailing Address - Fax:
Practice Address - Street 1:3205 RANDALL PKWY STE 217
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-2569
Practice Address - Country:US
Practice Address - Phone:910-877-1598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21246101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health