AWARE INC

Provider Demographics

• NPI: 1427003862
• Name: AWARE INC
• Entity Type: Organization
• Organization Name: AWARE INC
• Authorized Official - Title/Position: BUSINESS OPERATIONS MANAGER
• Authorized Official - First Name: LESLIE
• Authorized Official - Middle Name: A
• Authorized Official - Last Name: YORK
• Authorized Official - Phone: 406-563-8117
• Mailing Address - Street 1: 205 E PARK AVE
• Mailing Address - City: ANACONDA
• Mailing Address - State: MT
• Mailing Address - Zip Code: 59711-2340
• Mailing Address - Country: US
• Mailing Address - Phone: 406-563-8117
• Mailing Address - Fax: 406-563-5956
• Practice Address - Street 1: 205 E PARK AVE
• Practice Address - City: ANACONDA
• Practice Address - State: MT
• Practice Address - Zip Code: 59711-2340
• Practice Address - Country: US
• Practice Address - Phone: 406-563-8117
• Practice Address - Fax: 406-563-5956
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-24
• Last Update Date: 2021-11-19

Provider Licenses

State	License ID	Taxonomies
		101YA0400X, 103K00000X, 261Q00000X, 261QR0405X
MT		251B00000X
MT	11047	251S00000X, 261QM0801X
NM	1091	320800000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	261Q00000X	Ambulatory Health Care Facilities	Clinic/Center
No	101YA0400X	Behavioral Health & Social Service Providers	Counselor	Addiction (Substance Use Disorder)	Group - Multi-Specialty
No	103K00000X	Behavioral Health & Social Service Providers	Behavior Analyst		Group - Multi-Specialty
No	251B00000X	Agencies	Case Management		Group - Multi-Specialty
No	251S00000X	Agencies	Community/Behavioral Health		Group - Multi-Specialty
No	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center	Mental Health (Including Community Mental Health Center)	Group - Multi-Specialty
No	261QR0405X	Ambulatory Health Care Facilities	Clinic/Center	Rehabilitation, Substance Use Disorder	Group - Multi-Specialty
No	320800000X	Residential Treatment Facilities	Community Based Residential Treatment Facility, Mental Illness

Provider Identifiers

State	Identifier ID	ID Type	Issuer
MT	0502299	Medicaid
MT	0290343	Medicaid
MT	0320255	Medicaid
MT	0047124	Medicaid
MT	690812	Medicaid
NM	92507255	Medicaid
MT	0320331	Medicaid
MT	0493119	Medicaid
MT	000744813	Other	BCBS PRE-LIC'D PROFESSNLS
MT	0255374	Medicaid
NM	B3373	Medicaid
MT	0350812	Medicaid
NM	NM600001	Other	VALUEOPTIONS VENDOR ID