Organization
AWAKENED HEARTS FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN FEDELE III SUDRC (PRESIDENT)
(559) 978-4484
Entity
Organization
Contact information
Practice address
2350 W SHAW AVE STE 123, FRESNO, CA 93711-3412
(559) 978-4484
Mailing address
2350 W SHAW AVE STE 123, FRESNO, CA 93711-3412
(559) 978-4484
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
167G00000X
Licensed Psychiatric Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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