Organization
AWAKENLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON D. NORMAN LCSW (FOUNDER)
(573) 268-9823
Entity
Organization
Contact information
Practice address
18 HEDGES AVE, CORNWALL ON HUDSON, NY 12520-1208
(347) 878-9934
Mailing address
18 HEDGES AVE, CORNWALL ON HUDSON, NY 12520-1208
(347) 878-9934
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086181
LCSW
NY
01
—
18569
LCSW
AZ
Enumeration date
02/09/2022
Last updated
02/09/2022
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