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Organization
SIMPLY AWAKE LLC
Active
Organization
SIMPLY AWAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN ERIC LABMAN M.A., LPC (PRESIDENT)
(267) 454-8034
Entity
Organization
Contact information
Practice address
4000 SAWMILL RD STE C2, THE UNITY BARN, DOYLESTOWN, PA 18902-9645
(267) 454-8034
Mailing address
6597 GREENHILL RD, LUMBERVILLE, PA 18933-9703
(267) 454-8034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC005696
PA
251S00000X
Community/Behavioral Health Agency
PC005696
PA
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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