Provider Demographics
NPI:1700567765
Name:CONSCIOUS AWAKENINGS COUNSELING CENTER LLC
Entity type:Organization
Organization Name:CONSCIOUS AWAKENINGS COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:ROSEMARIE
Authorized Official - Last Name:COLL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:864-992-2540
Mailing Address - Street 1:420 THE PKWY STE K
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-5205
Mailing Address - Country:US
Mailing Address - Phone:864-992-2540
Mailing Address - Fax:
Practice Address - Street 1:214 DAYSTROM DR
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-1970
Practice Address - Country:US
Practice Address - Phone:864-992-2540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty