| Awakening Heart Wellness Services | |
|
21 E 2nd St Suite 101 Riverhead NY 11901-4616 | |
| (516) 426-2700 | |
| Not Available |
| Full Name | Awakening Heart Wellness Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 21 E 2nd St, Riverhead, New York |
| Authorized Official Name and Position | Jerra Lynn Juliano (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5164262700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakening Heart Wellness Services 21 E 2nd Street Suite 101 Riverhead NY 11901 Ph: (516) 426-2700 | Awakening Heart Wellness Services 21 E 2nd St Suite 101 Riverhead NY 11901-4616 Ph: (516) 426-2700 |
| NPI Number | 1427424530 |
|---|---|
| Provider Enumeration Date | 08/12/2015 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427424530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0829261 (New York) | Primary |
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