Organization · Type 2 NPI
Awake Intumind, LLC
Mental Health Counselor · Brockton, MA
NPI number
1801270731
Active
Practice location
37 Belmont Street 3rd Floor
Brockton, MA 02301
Fax (508) 510-3530
Mailing address
119 Christopher Road
Brockton, MA 02302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 1032073 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1801270731
Awake Intumind, LLC's National Provider Identifier is 1801270731, issued on Jul 9, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Feb 12, 2016.