Provider Demographics
NPI:1679906838
Name:AKINYELA, MAKUNGU MSHAIRI (LMFT)
Entity type:Individual
Prefix:DR
First Name:MAKUNGU
Middle Name:MSHAIRI
Last Name:AKINYELA
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4286 MEMORIAL DR STE D
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-1221
Mailing Address - Country:US
Mailing Address - Phone:404-508-3200
Mailing Address - Fax:
Practice Address - Street 1:4286 MEMORIAL DR STE D
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-1221
Practice Address - Country:US
Practice Address - Phone:404-508-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT000671106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist