| Awakenings Counseling Center, Llc | |
|
111 Lions Dr Suite 221 Barrington IL 60010-3182 | |
| (847) 347-0688 | |
| (847) 381-1599 |
| Full Name | Awakenings Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 111 Lions Dr, Barrington, Illinois |
| Authorized Official Name and Position | Shoji Mary Boldt (OWNER/THERAPIST) |
| Authorized Official Contact | 8473470688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakenings Counseling Center, Llc 111 Lions Dr Suite 221 Barrington IL 60010-3182 Ph: (847) 347-0688 | Awakenings Counseling Center, Llc 111 Lions Dr Suite 221 Barrington IL 60010-3182 Ph: (847) 347-0688 |
| NPI Number | 1437470234 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437470234 | NPI | - | NPPES |
| 1245426758 | Other | IL | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.004697 (Illinois) | Primary |
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