Provider Demographics
NPI:1740789817
Name:AKUJI COUNSELING, LLC
Entity Type:Organization
Organization Name:AKUJI COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PASSALACQUA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-423-7331
Mailing Address - Street 1:821 GRAND AVENUE PKWY STE 106
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2197
Mailing Address - Country:US
Mailing Address - Phone:512-423-7331
Mailing Address - Fax:
Practice Address - Street 1:821 GRAND AVENUE PKWY STE 106
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2197
Practice Address - Country:US
Practice Address - Phone:512-423-7331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73032101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty