Provider Demographics
NPI:1801163787
Name:AKEHI, MEGUMI (LLPC)
Entity type:Individual
Prefix:
First Name:MEGUMI
Middle Name:
Last Name:AKEHI
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 CENTENNIAL WAY
Mailing Address - Street 2:STE 140
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-8237
Mailing Address - Country:US
Mailing Address - Phone:517-803-1891
Mailing Address - Fax:
Practice Address - Street 1:836 CENTENNIAL WAY
Practice Address - Street 2:STE 140
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-8237
Practice Address - Country:US
Practice Address - Phone:517-803-1891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012366101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional