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General NPI Number Information
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NPI Number | 1629864061
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Entity Type | Organization
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Legal Business Name | AK THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 738 PARKLANE RD
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City | SWARTHMORE
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State | PA
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Zip | 19081-2922
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Country | US
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Telephone | 484-442-0073
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Fax |
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Provider Business Mailing Address
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Address Line | 738 PARKLANE RD
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City | SWARTHMORE
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State | PA
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Zip | 19081-2922
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Country | US
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Telephone | 484-442-0073
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA KONIEWICZ
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Credential | LPC, CAADC
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Telephone | 484-442-0073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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