AWAKE INTUMIND LLC NPI 1801270731

NPI Information

AWAKE INTUMIND, LLC is a mental health counselor in Brockton, MA. AWAKE INTUMIND, LLC NPI is 1801270731. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

37 BELMONT STREET 3RD FLOOR
BROCKTON, MA
ZIP 02301
Phone: (617) 749-7484
Fax: (508) 510-3530

The provider's authorized official is Edna Laurent-tellus .
The authorized official title is Ceo/founder and has the following contact phone number (617) 947-1860.

The enumeration date for this NPI number is 7/9/2015 and was last updated on 2/12/2016.

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:

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