| Awake Intumind, Llc | |
|
37 Belmont Street 3rd Floor Brockton MA 02301 | |
| (617) 749-7484 | |
| (508) 510-3530 |
| Full Name | Awake Intumind, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 37 Belmont Street 3rd Floor, Brockton, Massachusetts |
| Authorized Official Name and Position | Edna Laurent-tellus (CEO/FOUNDER) |
| Authorized Official Contact | 6179471860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awake Intumind, Llc 119 Christopher Road Brockton MA 02302 Ph: (617) 749-7484 | Awake Intumind, Llc 37 Belmont Street 3rd Floor Brockton MA 02301 Ph: (617) 749-7484 |
| NPI Number | 1801270731 |
|---|---|
| Provider Enumeration Date | 07/09/2015 |
| Last Update Date | 02/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801270731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1032073 (Massachusetts) | Primary |
Arbour Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Shaw Rd, Brockton, MA 02301 Phone: 617-935-4872 | |
Aubrey Lieberman Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1342 Belmont St, Suite 105, Brockton, MA 02301 Phone: 508-580-3330 Fax: 508-580-8633 | |
South Bay Community Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 Phone: 508-521-2200 Fax: 508-584-2227 | |
South Bay Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 West Chestnut Street Suite 202, Brockton, MA 02301 Phone: 508-521-2200 Fax: 508-584-2227 | |
Bmc Brockton Behavioral Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 34 N Pearl St, Brockton, MA 02301 Phone: 617-414-5393 | |
Brockton Multi Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Dmh, Brockton, MA 02302 Phone: 508-897-2000 Fax: 508-586-5117 | |
Emergency Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Brockton, MA 02302 Phone: 508-897-2000 |