Provider Demographics
NPI:1881424679
Name:OSAFO-MENSAH, OBIYAA KYIRAKA AKUA
Entity type:Individual
Prefix:
First Name:OBIYAA KYIRAKA
Middle Name:AKUA
Last Name:OSAFO-MENSAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:OBI
Other - Middle Name:AKUA
Other - Last Name:OSAFO-MENSAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7277 HAWKINS VIEW DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-3921
Mailing Address - Country:US
Mailing Address - Phone:682-291-9911
Mailing Address - Fax:
Practice Address - Street 1:7277 HAWKINS VIEW DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-3921
Practice Address - Country:US
Practice Address - Phone:682-291-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician