Provider Demographics
NPI:1427837236
Name:AWAKENINGS PSYCHOTHERAPY LCSW PLLC
Entity type:Organization
Organization Name:AWAKENINGS PSYCHOTHERAPY LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARRILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-470-2891
Mailing Address - Street 1:6614 AVENUE U STE 1005
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6021
Mailing Address - Country:US
Mailing Address - Phone:347-470-2891
Mailing Address - Fax:
Practice Address - Street 1:125 COVERT STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207
Practice Address - Country:US
Practice Address - Phone:347-470-2891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty