Healthcare Provider Details

I. General information

NPI: 1851540264
Provider Name (Legal Business Name): COUNSELING CENTER FOR HUMAN AWARENESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2008
Last Update Date: 09/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 BROAD ST SUITE 1527
NASHUA NH
03063-3239
US

IV. Provider business mailing address

154 BROAD ST SUITE 1527
NASHUA NH
03063-3239
US

V. Phone/Fax

Practice location:
  • Phone: 603-880-9880
  • Fax: 603-880-9880
Mailing address:
  • Phone: 603-880-9880
  • Fax: 603-880-9880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number516
License Number StateNH

VIII. Authorized Official

Name: DR. CAROLYN MORGAN
Title or Position: CO-OWNER
Credential: PH.D.
Phone: 603-880-9880