Provider Demographics
NPI:1861251639
Name:WAKLATSI, VICTORIA MANSAH AKUA (MSW,LSW)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MANSAH AKUA
Last Name:WAKLATSI
Suffix:
Gender:F
Credentials:MSW,LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8272 BELLOW PARK DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-9347
Mailing Address - Country:US
Mailing Address - Phone:614-203-7595
Mailing Address - Fax:
Practice Address - Street 1:8272 BELLOW PARK DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-9347
Practice Address - Country:US
Practice Address - Phone:614-203-7595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0023147104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker