Healthcare Provider Details

I. General information

NPI: 1922762814
Provider Name (Legal Business Name): AKVA COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 10/19/2023
Certification Date: 10/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 OLD VALLEY RD FL 2
STEVENSON MD
21153-0670
US

IV. Provider business mailing address

1925 OLD VALLEY RD FL 2
STEVENSON MD
21153-0670
US

V. Phone/Fax

Practice location:
  • Phone: 410-403-3326
  • Fax:
Mailing address:
  • Phone: 410-403-3326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier21201
Identifier TypeOTHER
Identifier StateMD
Identifier IssuerSOCIAL WORKER LICENSE

VIII. Authorized Official

Name: DAVID AKVA
Title or Position: OWNER
Credential: LCSWC
Phone: 410-834-0590