Provider Demographics
NPI:1699422469
Name:AWAKEN & ALIGN PLLC
Entity type:Organization
Organization Name:AWAKEN & ALIGN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:D
Authorized Official - Last Name:TRIPP
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LP
Authorized Official - Phone:715-969-9212
Mailing Address - Street 1:209 PEARL ST APT 2
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-2689
Mailing Address - Country:US
Mailing Address - Phone:715-969-9212
Mailing Address - Fax:
Practice Address - Street 1:209 PEARL ST APT 2
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-2689
Practice Address - Country:US
Practice Address - Phone:734-288-7725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty