Organization
AWAKENED MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM THOMAS SOLA LCSW (CEO)
(860) 581-0818
Entity
Organization
Contact information
Practice address
101 CULVER LN, PORTLAND, CT 06480-1324
(860) 581-0818
Mailing address
101 CULVER LN, PORTLAND, CT 06480-1324
(860) 581-0818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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