Provider Demographics
NPI:1215472030
Name:SEEDS OF AWARENESS, INC
Entity type:Organization
Organization Name:SEEDS OF AWARENESS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FELZER
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:510-788-0876
Mailing Address - Street 1:7 4TH ST
Mailing Address - Street 2:SUITE 46
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-3043
Mailing Address - Country:US
Mailing Address - Phone:510-788-0876
Mailing Address - Fax:707-241-4948
Practice Address - Street 1:7 4TH ST
Practice Address - Street 2:SUITE 46
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-3043
Practice Address - Country:US
Practice Address - Phone:510-788-0876
Practice Address - Fax:707-241-4948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA93350251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health