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General NPI Number Information
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NPI Number | 1053838813
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Entity Type | Organization
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Legal Business Name | HOLISTIC AWAKENINGS, LLC
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 10/14/2023
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Provider Practice Location Address
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Address Line | 840 WALNUT ST
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City | CATASAUQUA
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State | PA
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Zip | 18032-1018
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Country | US
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Telephone | 484-820-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 2255 VISTA DR
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City | BETHLEHEM
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State | PA
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Zip | 18018-1022
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Country | US
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Telephone | 610-217-8789
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Fax |
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Authorized Official
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Title or Position | LICENSED THERAPIST & OWNER
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Name | JENNA GALLIGANI
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Credential | MS, LPC
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Telephone | 610-217-8789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 101YM0800X
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License Number State | PA
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