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Organization
AWAKEN THE GREATNESS
Active
Organization
AWAKEN THE GREATNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERISE JOY THOMAS MS (OWNER)
(424) 219-0315
Entity
Organization
Contact information
Practice address
1822 S 39TH ST UNIT 120, MESA, AZ 85206-3831
(424) 219-0315
Mailing address
2007 S LAS PALMAS, MESA, AZ 85202-6352
(424) 219-0315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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