| Awakening Counseling & Coaching Inc. | |
|
1724 Village Way Ste A Orange Park FL 32073-5225 | |
| (904) 269-0886 | |
| (904) 269-0499 |
| Full Name | Awakening Counseling & Coaching Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1724 Village Way Ste A, Orange Park, Florida |
| Authorized Official Name and Position | Dishaun Disu (OWNER) |
| Authorized Official Contact | 9044448260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakening Counseling & Coaching Inc. 10245 Magnolia Hills Dr Jacksonville FL 32210-4993 Ph: (904) 444-8260 | Awakening Counseling & Coaching Inc. 1724 Village Way Ste A Orange Park FL 32073-5225 Ph: (904) 269-0886 |
| NPI Number | 1588056816 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 02/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588056816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH10580 (Florida) | Primary |
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