| Awakening Counseling Services | |
|
1724 Village Way Ste A Orange Park FL 32073-5225 | |
| (904) 269-0886 | |
| (904) 269-0499 |
| Full Name | Awakening Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1724 Village Way Ste A, Orange Park, Florida |
| Authorized Official Name and Position | Dishaun Davis (OWNER) |
| Authorized Official Contact | 9044448260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakening Counseling Services 1724 Village Way Ste A Orange Park FL 32073-5225 Ph: (904) 269-0886 | Awakening Counseling Services 1724 Village Way Ste A Orange Park FL 32073-5225 Ph: (904) 269-0886 |
| NPI Number | 1184036824 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 05/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184036824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH10580 (Florida) | Primary |
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