Organization
AWARDING LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA J WARD LPC (COUNSELOR)
(757) 880-4143
Entity
Organization
Contact information
Practice address
54 CREEK DR, HARDYVILLE, VA 23070-2130
(757) 880-4143
Mailing address
54 CREEK DR, HARDYVILLE, VA 23070-2130
(757) 880-4143
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043725385
ANTHEM BCBS
VA
01
—
1043725385
CIGNA
—
05
—
1043725385
—
VA
Enumeration date
02/03/2023
Last updated
02/03/2023
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