Healthcare Provider Details

I. General information

NPI: 1982532743
Provider Name (Legal Business Name): AWAKEN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 PEMBROKE CT
CHERRY HILL NJ
08003-1819
US

IV. Provider business mailing address

2 PEMBROKE CT
CHERRY HILL NJ
08003-1819
US

V. Phone/Fax

Practice location:
  • Phone: 856-361-8848
  • Fax:
Mailing address:
  • Phone: 856-361-8848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: RYAN ROUTLEDGE
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 856-361-8848