Organization
AWAKENINGS PSYCHIATRIC SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LONGSTREET MD (PRESIDENT)
(864) 777-3039
Entity
Organization
Contact information
Practice address
1010 E NORTH ST STE 1A, GREENVILLE, SC 29601-3166
(864) 777-3039
(864) 400-9714
Mailing address
1010 E NORTH ST STE 1A, GREENVILLE, SC 29601-3166
(864) 777-3039
(864) 400-9714
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
05/16/2020
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