Organization
AWARENESS COUNSELING CENTER OF THE INDIAN RIVER INC
Active
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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