Awaken Wellness

LBN: Chanel V. Tazza, Mental Health Counseling, P.C.
Awaken Wellness is an health care organization with primary practice located at 63 Scudders Ln , Glen Head NY 11545-1535. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Chanel V. Tazza, Mental Health Counseling, P.C. can be contacted via phone (646) 456-0819, or through Tazza, Chanel Viviana via phone (646) 456-0819.

Contact Information

Primary practice address
63 Scudders Ln Glen Head NY 11545-1535
Phone: (646) 456-0819
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tazza, Chanel Viviana LMHC
Phone: (646) 456-0819

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1386114692
LBN Legal business name Chanel V. Tazza, Mental Health Counseling, P.C.
DBA Doing business as Awaken Wellness
Authorized official Tazza, Chanel Viviana LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2018
Last updated Mar 28th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386114692 NPPES
New York Other 1053510354 NPI TYPE I
New York Other 1386114692 NPI TYPE I
New York MEDICAID 07679601 NPI TYPE I

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