Provider Demographics
NPI:1669684742
Name:AWARENESS, LLC
Entity Type:Organization
Organization Name:AWARENESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:DYKES
Authorized Official - Last Name:HARTIG
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:478-953-2122
Mailing Address - Street 1:100 KATELYN CIRCLE
Mailing Address - Street 2:SUITE B
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088
Mailing Address - Country:US
Mailing Address - Phone:478-953-2122
Mailing Address - Fax:478-953-2060
Practice Address - Street 1:100 KATELYN CIRCLE
Practice Address - Street 2:SUITE B
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088
Practice Address - Country:US
Practice Address - Phone:478-953-2122
Practice Address - Fax:478-953-2060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC 000473101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty