Healthcare Provider Details

I. General information

NPI: 1205753746
Provider Name (Legal Business Name): AKESO THERAPEUTICS & WELLNESS COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

448 WYLIE AVE
CLAIRTON PA
15025-1415
US

IV. Provider business mailing address

3202 MCKNIGHT EAST DR # 382
PITTSBURGH PA
15237-6423
US

V. Phone/Fax

Practice location:
  • Phone: 412-440-7601
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ERICA CONNER-VAN BUREN
Title or Position: MANAGING MEMBER
Credential: LPC, NCC
Phone: 412-440-7601