| Center For Awakenings | |
|
6613b Bay Laurel Pl Avila Beach CA 93424-3504 | |
| (561) 598-9118 | |
| Not Available |
| Full Name | Center For Awakenings |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6613b Bay Laurel Pl, Avila Beach, California |
| Authorized Official Name and Position | Holly Whall (OWNER) |
| Authorized Official Contact | 5615989118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Awakenings 1515 5th St Los Osos CA 93402-1611 Ph: (561) 598-9118 | Center For Awakenings 6613b Bay Laurel Pl Avila Beach CA 93424-3504 Ph: (561) 598-9118 |
| NPI Number | 1619285046 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619285046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9645 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |