Provider Demographics
NPI:1588392922
Name:WITHERSPOON, AKILAH VASHTI (CPFSW, CLC, CD, LCCE)
Entity type:Individual
Prefix:
First Name:AKILAH
Middle Name:VASHTI
Last Name:WITHERSPOON
Suffix:
Gender:F
Credentials:CPFSW, CLC, CD, LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 FORBES BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-6316
Mailing Address - Country:US
Mailing Address - Phone:202-817-7259
Mailing Address - Fax:
Practice Address - Street 1:5927 FISHER RD APT 102
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-5914
Practice Address - Country:US
Practice Address - Phone:301-541-3189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula