Provider Demographics
NPI:1346004074
Name:AWAKEN JOURNEY COUNSELING
Entity type:Organization
Organization Name:AWAKEN JOURNEY COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LCMHC
Authorized Official - Prefix:
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:OSBORN-FIANDACA
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:603-932-4850
Mailing Address - Street 1:3 WHITTIER LN
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:NH
Mailing Address - Zip Code:03861-6303
Mailing Address - Country:US
Mailing Address - Phone:603-932-4850
Mailing Address - Fax:603-945-1965
Practice Address - Street 1:472 HIGH ST
Practice Address - Street 2:
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-1012
Practice Address - Country:US
Practice Address - Phone:603-932-4850
Practice Address - Fax:603-945-1965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)