Provider Demographics
NPI:1639060122
Name:EKOAH, NETONGO WILLIAMS
Entity type:Individual
Prefix:
First Name:NETONGO
Middle Name:WILLIAMS
Last Name:EKOAH
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 1:9861 FRANKFURT DR
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-5331
Mailing Address - Country:US
Mailing Address - Phone:202-856-1759
Mailing Address - Fax:
Practice Address - Street 1:9861 FRANKFURT DR
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-5331
Practice Address - Country:US
Practice Address - Phone:202-856-1759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health