Provider Demographics
NPI:1689235384
Name:AWAKENINGS COUNSELING SERVICES
Entity Type:Organization
Organization Name:AWAKENINGS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-353-9506
Mailing Address - Street 1:406 5TH ST N STE 4
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:AL
Mailing Address - Zip Code:35121-1575
Mailing Address - Country:US
Mailing Address - Phone:205-353-9506
Mailing Address - Fax:205-905-7026
Practice Address - Street 1:406 5TH ST N STE 4
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:AL
Practice Address - Zip Code:35121-1575
Practice Address - Country:US
Practice Address - Phone:205-353-9506
Practice Address - Fax:205-905-7026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1467919274OtherNPI
1679899918OtherNPI