Organization
AWARENESS COUNSELING CENTER OF THE INDIAN RIVER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GANGA MAYEE JOYCE WASSERMAN LCSW (PRESIDENT/OWNER)
(772) 589-7008
Entity
Organization
Contact information
Practice address
7766 BAY ST, #11, SEBASTIAN, FL 32958-3427
(772) 589-7008
(772) 589-7008
Mailing address
13537 US HIGHWAY 1, #137, SEBASTIAN, FL 32958-3760
(772) 589-7008
(772) 589-7008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6348
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z9500
PROVIDER NUMBER
FL
Enumeration date
07/14/2007
Last updated
02/14/2008
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