Provider Demographics
NPI:1538867288
Name:AMOAH, FRANKLIN ADJEI
Entity type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:ADJEI
Last Name:AMOAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2368 ANTIQUA CT
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-1737
Mailing Address - Country:US
Mailing Address - Phone:703-587-8566
Mailing Address - Fax:
Practice Address - Street 1:2368 ANTIQUA CT
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-1737
Practice Address - Country:US
Practice Address - Phone:703-587-8566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-22
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251S00000XAgenciesCommunity/Behavioral Health