Provider Demographics
NPI:1932579729
Name:AWAKEN COUNSELING LLC
Entity Type:Organization
Organization Name:AWAKEN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MURR
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:678-310-0358
Mailing Address - Street 1:1744 ROSWELL RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-3979
Mailing Address - Country:US
Mailing Address - Phone:678-310-0358
Mailing Address - Fax:
Practice Address - Street 1:1744 ROSWELL RD
Practice Address - Street 2:SUITE 215
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-3979
Practice Address - Country:US
Practice Address - Phone:678-310-0358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-06
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006716101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty