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Organization

DANCING GODDESS RISING MINISTRIES, LLC

Active
Other names
Awakening Heart Wellness Services
Organization subpart
No

Provider details

NPI number
Authorized official
JERRA LYNN JULIANO LCSW (CHIEF EXECUTIVE OFFICER)
(516) 426-2700
Entity
Organization

Contact information

Practice address
21 E 2ND ST, SUITE 101, RIVERHEAD, NY 11901-4616
(516) 426-2700
Mailing address
21 E 2ND STREET, SUITE 101, RIVERHEAD, NY 11901
(516) 426-2700

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0829261
NY

Other

Enumeration date
08/12/2015
Last updated
03/29/2017
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