Organization
AWAKEN THE POWER THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE E WEST (DIRECTOR)
(203) 693-1050
Entity
Organization
Contact information
Practice address
57 PLAINS RD UNIT 1C, MILFORD, CT 06461-2573
(203) 693-1050
(203) 306-3388
Mailing address
57 PLAINS RD UNIT 1C, MILFORD, CT 06461-2573
(203) 693-1050
(203) 306-3386
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2524
CT
101YP2500X
Professional Counselor
2867
CT
103TC0700X
Clinical Psychologist
002950
CT
1041C0700X
Clinical Social Worker
Primary
8711
CT
106H00000X
Marriage & Family Therapist
1813
CT
Other
Enumeration date
10/17/2014
Last updated
12/23/2019
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