| Awakenly Llc | |
|
18 Hedges Ave Cornwall On Hudson NY 12520-1208 | |
| (347) 878-9934 | |
| Not Available |
| Full Name | Awakenly Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18 Hedges Ave, Cornwall On Hudson, New York |
| Authorized Official Name and Position | Allison D. Norman (FOUNDER) |
| Authorized Official Contact | 5732689823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakenly Llc 18 Hedges Ave Cornwall On Hudson NY 12520-1208 Ph: (347) 878-9934 | Awakenly Llc 18 Hedges Ave Cornwall On Hudson NY 12520-1208 Ph: (347) 878-9934 |
| NPI Number | 1790439651 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790439651 | NPI | - | NPPES |
| 086181 | Other | NY | LCSW |
| 18569 | Other | AZ | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
The Hudson Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 276 Hudson St, Cornwall On Hudson, NY 12520 Phone: 845-534-2926 Fax: 845-534-3518 |