Organization · NPI-2

Awaken The Power Therapy, LLC

Social Worker, Clinical · Milford, CT

NPI number1194129239
StatusActive
Last updated in NPPESDec 23, 2019

Details

NPI
1194129239
Entity type
Organization (NPI-2)
Legal business name
Awaken The Power Therapy, LLC
Organization subpart
No
Enumeration date
Oct 17, 2014
Certification date
Dec 23, 2019
Last updated
Dec 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical8711CTYes
101YP2500X Counselor, Professional2524CT
101YP2500X Counselor, Professional2867CT
103TC0700X Psychologist, Clinical002950CT
106H00000X Marriage & Family Therapist1813CT

Practice location

57 Plains Rd Unit 1c
Milford, CT 06461-2573

Phone 203-693-1050 · Fax 203-306-3388

Mailing address

57 Plains Rd Unit 1c
Milford, CT 06461-2573

Phone 203-693-1050 · Fax 203-306-3386

Authorized official

Monique E West
Director
2036931050

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