Easley, Mikki

Easley, Mikki is an sole proprietor health care provider with primary practice located at 2712 Jefford Pl , Anchorage AK 99517-1038. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Easley, Mikki can be contacted via phone (907) 830-3759.

Contact Information

Primary practice address
2712 Jefford Pl Anchorage AK 99517-1038
Phone: (907) 830-3759
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Alaska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1069 Alaska

Profile Details

NPI number 1841321452
LBN Legal business name Easley, Mikki
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated May 24th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841321452 NPPES
Alaska MEDICAID CM5359

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