Provider Demographics
NPI:1295044709
Name:AWAKENINGS CENTER FOR SELF-IMPROVEMENT, INC.
Entity Type:Organization
Organization Name:AWAKENINGS CENTER FOR SELF-IMPROVEMENT, INC.
Other - Org Name:VERONICA L. ANCHONDO, M.A., LPC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANCHONDO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:915-276-8371
Mailing Address - Street 1:5959 GATEWAY BLVD W STE 645
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3390
Mailing Address - Country:US
Mailing Address - Phone:915-276-8371
Mailing Address - Fax:
Practice Address - Street 1:5959 GATEWAY BLVD W STE 645
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-3390
Practice Address - Country:US
Practice Address - Phone:915-276-8371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19879101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty