Provider Demographics
NPI:1336739507
Name:AKINS, PERRY WESLEY
Entity Type:Individual
Prefix:
First Name:PERRY
Middle Name:WESLEY
Last Name:AKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:746 N RANDOLPH AVE
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:AL
Mailing Address - Zip Code:36027-1212
Mailing Address - Country:US
Mailing Address - Phone:205-876-9182
Mailing Address - Fax:
Practice Address - Street 1:746 N RANDOLPH AVE
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:AL
Practice Address - Zip Code:36027-1212
Practice Address - Country:US
Practice Address - Phone:205-876-9182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3834C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical