| Awakening, Inc. | |
|
6100 Greenland Rd Suite 202 Jacksonville FL 32258 | |
| (904) 733-7383 | |
| Not Available |
| Full Name | Awakening, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6100 Greenland Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Jeremy S. Mirabile (OWNER/MEDICAL DIRECCTOR) |
| Authorized Official Contact | 9047337383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakening, Inc. 6100 Greenland Rd Suite 202 Jacksonville FL 32258 Ph: (904) 733-7383 | Awakening, Inc. 6100 Greenland Rd Suite 202 Jacksonville FL 32258 Ph: (904) 733-7383 |
| NPI Number | 1356502728 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 10/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356502728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0416AD268700 (Florida) | Primary |
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