Healthcare Provider Details

I. General information

NPI: 1205745221
Provider Name (Legal Business Name): ELIZABETH OLUWAKEMI AKINSANYA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 BLADENSBURG RD NE APT 518
WASHINGTON DC
20002-8971
US

IV. Provider business mailing address

16028 ELEGANT CT
BOWIE MD
20716-3371
US

V. Phone/Fax

Practice location:
  • Phone: 202-427-6682
  • Fax:
Mailing address:
  • Phone: 240-639-5176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLG200018972
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: