Awaken Odyssey Psychotherapy
Psychologist, Clinical in Jersey City, NJ. Organization (NPI-2).
NPI number1366351033
StatusActive
Last updated in NPPESSep 7, 2026
Details
- NPI
- 1366351033
- Entity type
- Organization (NPI-2)
- Legal business name
- Awaken Odyssey Psychotherapy
- Organization subpart
- No
- Enumeration date
- Sep 7, 2026
- Certification date
- Sep 7, 2026
- Last updated
- Sep 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
111 Town Square Pl Ste 1201Jersey City, NJ 07310-1724
Phone 551-310-2688
Mailing address
111 Town Square Pl Ste 1201Jersey City, NJ 07310-1724
Phone 551-310-2688
Authorized official
Maria Poston
Owner
5513102688
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