Provider Demographics
NPI:1558036327
Name:AKA THERAPY LLC
Entity Type:Organization
Organization Name:AKA THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AFTON
Authorized Official - Middle Name:
Authorized Official - Last Name:FISK SPARROW
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, LPAT, ATR-BC
Authorized Official - Phone:505-633-8103
Mailing Address - Street 1:6330 RIVERSIDE PLAZA LN NW STE 160
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-2682
Mailing Address - Country:US
Mailing Address - Phone:505-444-4127
Mailing Address - Fax:
Practice Address - Street 1:6330 RIVERSIDE PLAZA LN NW STE 160
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-2682
Practice Address - Country:US
Practice Address - Phone:505-444-4127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Multi-Specialty