| Simply Awake Llc | |
|
4000 Sawmill Rd Ste C2 The Unity Barn Doylestown PA 18902-9645 | |
| (267) 454-8034 | |
| Not Available |
| Full Name | Simply Awake Llc |
|---|---|
| Speciality | Counselor |
| Location | 4000 Sawmill Rd Ste C2, Doylestown, Pennsylvania |
| Authorized Official Name and Position | Jonathan Eric Labman (PRESIDENT) |
| Authorized Official Contact | 2674548034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Awake Llc 6597 Greenhill Rd Lumberville PA 18933-9703 Ph: (267) 454-8034 | Simply Awake Llc 4000 Sawmill Rd Ste C2 The Unity Barn Doylestown PA 18902-9645 Ph: (267) 454-8034 |
| NPI Number | 1407248289 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 03/03/2015 |
| Medicare PECOS PAC ID | 8921443060 |
|---|---|
| Medicare Enrollment ID | O20240229000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407248289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC005696 (Pennsylvania) | Primary |
| 251S00000X | Community/behavioral Health | PC005696 (Pennsylvania) | Secondary |
| Provider Name | Jonathan E Labman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134372717 PECOS PAC ID: 9830534973 Enrollment ID: I20240229000065 |
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