Basic Information
| Provider Information | |||||||||
| NPI: | 1932648912 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PERKINS | ||||||||
| FirstName: | TAMIKA | ||||||||
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| Credential: | LPCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 444 N MAIN ST | ||||||||
| Address2: | AMBULATORY BUILDING, SUITE 420 | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443103110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303795094 | ||||||||
| FaxNumber: | 3303795095 | ||||||||
| Practice Location | |||||||||
| Address1: | 444 N MAIN ST | ||||||||
| Address2: | AMBULATORY BUILDING, SUITE 420 | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443103110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303795094 | ||||||||
| FaxNumber: | 3303795095 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2017 | ||||||||
| LastUpdateDate: | 02/23/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | E.0800462 | OH | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.