Organization · Type 2 NPI

Chanel V. Tazza, Mental Health Counseling, P.c.

Mental Health Counselor · Glen Head, NY

NPI number 1386114692 Active

Practice location

63 Scudders Ln
Glen Head, NY 11545-1535

Call (646) 456-0819 Map

Other practice locations

5913 Grove St, Ridgewood, NY 11385-2647 · (646) 456-0819

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

NPI record

NPI: 1386114692
Entity type: Organization (Type 2)
Issued: Nov 29, 2018
Last updated: Mar 28, 2024
Status: Active

Other names

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Awaken Wellness · doing business as
Awaken Wellness · doing business as

Authorized official

Mrs. Chanel Viviana Tazza, LMHC
Mental Health Counselor/owner
(646) 456-0819

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About NPI 1386114692

Chanel V. Tazza, Mental Health Counseling, P.c.'s National Provider Identifier is 1386114692, issued on Nov 29, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glen Head, NY. The record was last updated on Mar 28, 2024.