Provider Demographics
NPI:1396470787
Name:ATKINS, ARLEEN GAIL
Entity type:Individual
Prefix:DR
First Name:ARLEEN
Middle Name:GAIL
Last Name:ATKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 DEER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ALEDO
Mailing Address - State:TX
Mailing Address - Zip Code:76008-3900
Mailing Address - Country:US
Mailing Address - Phone:817-613-7090
Mailing Address - Fax:
Practice Address - Street 1:172 DEER CREEK DR
Practice Address - Street 2:
Practice Address - City:ALEDO
Practice Address - State:TX
Practice Address - Zip Code:76008-3900
Practice Address - Country:US
Practice Address - Phone:817-613-7090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11325101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor