Healthcare Provider Details

I. General information

NPI: 1871183855
Provider Name (Legal Business Name): AKUA TWUM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2021
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 ACADEMY RD
ALBANY NY
12208-3198
US

IV. Provider business mailing address

6211 DERBYSHIRE HOUSE APT 106
ALBANY NY
12203-4533
US

V. Phone/Fax

Practice location:
  • Phone: 518-346-1284
  • Fax:
Mailing address:
  • Phone: 315-956-7546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number011005
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: