Provider Demographics
NPI:1255071569
Name:DIVERSITY AND AWARENESS COUNSELING
Entity type:Organization
Organization Name:DIVERSITY AND AWARENESS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA OGANDO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-329-9342
Mailing Address - Street 1:PO BOX 563
Mailing Address - Street 2:
Mailing Address - City:EAST BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02128-0006
Mailing Address - Country:US
Mailing Address - Phone:617-329-9342
Mailing Address - Fax:833-799-0114
Practice Address - Street 1:177 PAULINE ST
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:MA
Practice Address - Zip Code:02152-2342
Practice Address - Country:US
Practice Address - Phone:617-329-9342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty