CHANEL V. TAZZA MENTAL HEALTH COUNSELING P.C. NPI 1386114692

NPI Information

  • NPI: 1386114692
  • Provider Name: CHANEL V. TAZZA, MENTAL HEALTH COUNSELING, P.C.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: AWAKEN WELLNESS
  • Address: 63 SCUDDERS LN
    GLEN HEAD, NY
    ZIP 11545
  • Phone: (646) 456-0819

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NPI Details

CHANEL V. TAZZA, MENTAL HEALTH COUNSELING, P.C. is a mental health counselor in Glen Head, NY. CHANEL V. TAZZA, MENTAL HEALTH COUNSELING, P.C. NPI is 1386114692. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Awaken Wellness.

The provider's business location address is:

63 SCUDDERS LN
GLEN HEAD, NY
ZIP 11545-535
Phone: (646) 456-0819

The provider's authorized official is Chanel Viviana Tazza .
The authorized official title is Mental Health Counselor/owner and has the following contact phone number (646) 456-0819.

The enumeration date for this NPI number is 11/29/2018 and was last updated on 3/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11053510354OTHERNEW YORKNPI TYPE I
21386114692OTHERNEW YORKGROUP PRACTICE NPI
307679601MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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