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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841321452 | NPPES |
Alaska | MEDICAID | CM5359 |
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