Awakened Mental Health Pllc | |
101 Culver Ln Portland CT 06480-1324 | |
(860) 581-0818 | |
Not Available |
Full Name | Awakened Mental Health Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 101 Culver Ln, Portland, Connecticut |
Authorized Official Name and Position | Adam Thomas Sola (CEO) |
Authorized Official Contact | 8605810818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Awakened Mental Health Pllc 101 Culver Ln Portland CT 06480-1324 Ph: (860) 581-0818 | Awakened Mental Health Pllc 101 Culver Ln Portland CT 06480-1324 Ph: (860) 581-0818 |
NPI Number | 1740977701 |
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Provider Enumeration Date | 04/20/2023 |
Last Update Date | 04/20/2023 |
Certification Date | 04/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740977701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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