| Awaken Wellness | |
|
63 Scudders Ln Glen Head NY 11545-1535 | |
| (646) 456-0819 | |
| Not Available |
| Full Name | Awaken Wellness |
|---|---|
| Speciality | Counselor |
| Location | 63 Scudders Ln, Glen Head, New York |
| Authorized Official Name and Position | Chanel Viviana Tazza (MENTAL HEALTH COUNSELOR/OWNER) |
| Authorized Official Contact | 6464560819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awaken Wellness 63 Scudders Ln Glen Head NY 11545-1535 Ph: (646) 456-0819 | Awaken Wellness 63 Scudders Ln Glen Head NY 11545-1535 Ph: (646) 456-0819 |
| NPI Number | 1386114692 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Medicare PECOS PAC ID | 4688015936 |
|---|---|
| Medicare Enrollment ID | O20240517000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386114692 | NPI | - | NPPES |
| 1053510354 | Other | NY | NPI TYPE I |
| 1386114692 | Other | NY | GROUP PRACTICE NPI |
| 07679601 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Chanel Viviana Tazza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053510354 PECOS PAC ID: 0042684045 Enrollment ID: I20240517000134 |
Harriet E. Perlmutter, Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 30 Glen Head Rd Ste 2wa, Glen Head, NY 11545 Phone: 516-398-2985 | |
L.w. Petersen, Psychologist, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Beechwood Dr, Glen Head, NY 11545 Phone: 516-671-7509 | |
Comprehensive Neurological Care Of Long Island Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Farmwoods Ln, Glen Head, NY 11545 Phone: 917-336-8422 | |
Victoria Capobianco D.o. Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Glen Head Rd Ste 202, Glen Head, NY 11545 Phone: 516-672-8115 | |
Steven Yellin Clinical Psychologist Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 333 Glen Head Rd, Suite 50, Glen Head, NY 11545 Phone: 516-674-8403 Fax: 631-543-0719 | |
Key Insights Neuropsychology And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Glen Head Rd Ste 3east, Glen Head, NY 11545 Phone: 516-299-9300 Fax: 516-299-9299 |