Healthcare Provider Details

I. General information

NPI: 1063324788
Provider Name (Legal Business Name): ADWOA TAWIAH ANDOH ATR-P, LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 BENNING RD SE
WASHINGTON DC
20019-6145
US

IV. Provider business mailing address

1407 OLD MUSKET LN
FORT WASHINGTON MD
20744-4179
US

V. Phone/Fax

Practice location:
  • Phone: 202-582-1390
  • Fax:
Mailing address:
  • Phone: 301-659-8128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGPC200012569
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: