| Awaken Mental Health Counseling, Pllc | |
|
74 Fire Island Ave Babylon NY 11702-3531 | |
| (631) 268-4778 | |
| Not Available |
| Full Name | Awaken Mental Health Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 74 Fire Island Ave, Babylon, New York |
| Authorized Official Name and Position | Burcu Altintas (OWNER) |
| Authorized Official Contact | 6319422660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awaken Mental Health Counseling, Pllc 712 Everdell Ave West Islip NY 11795-3300 Ph: (631) 942-2660 | Awaken Mental Health Counseling, Pllc 74 Fire Island Ave Babylon NY 11702-3531 Ph: (631) 268-4778 |
| NPI Number | 1922879188 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Medicare PECOS PAC ID | 9133567985 |
|---|---|
| Medicare Enrollment ID | O20240329001511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922879188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Burcu Altintas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912642877 PECOS PAC ID: 0244679249 Enrollment ID: I20240423001935 |
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