Inner Awakenings Diagnostic and Counseling Clinic

NPI #1679788103 in Pewaukee, Wisconsin

Provider Information

NPI Number: 1679788103
Entity Type: Organization
Organization Name: Inner Awakenings Diagnostic and Counseling Clinic
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 10, 2007
Last Updated: Feb 19, 2010

Practice Location

Address: 436 OAKTON AVE
City: Pewaukee
State: Wisconsin
ZIP Code: 53072-3542
Phone: (262) 691-2581

Authorized Official

Name: MRS. MELISSA A FORD, MS,LPC
Title: OWNER
Phone: (262) 691-2581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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