| Awakenings Counseling Center | |
|
1008 Old Virginia Beach Rd Suite 100 Virginia Beach VA 23451-5564 | |
| (757) 422-2118 | |
| (757) 422-2388 |
| Full Name | Awakenings Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 1008 Old Virginia Beach Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Kimberly Brodie-harlan (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7574222118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakenings Counseling Center 1008 Old Virginia Beach Rd Suite 100 Virginia Beach VA 23451-5564 Ph: (757) 422-2118 | Awakenings Counseling Center 1008 Old Virginia Beach Rd Suite 100 Virginia Beach VA 23451-5564 Ph: (757) 422-2118 |
| NPI Number | 1144334772 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1951372853 |
|---|---|
| Medicare Enrollment ID | O20040804000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144334772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Kimberly Brodie Harlan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104930759 PECOS PAC ID: 7012988918 Enrollment ID: I20040804000571 |
| Provider Name | Karen Simmons-faber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134129422 PECOS PAC ID: 0244237543 Enrollment ID: I20061030000473 |
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