Awake Intumind, LLC
NPI #1801270731 in Brockton, Massachusetts
Provider Information
- NPI Number
- 1801270731
- Entity Type
- Organization
- Organization Name
- Awake Intumind, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 9, 2015
- Last Updated
- Feb 12, 2016
Practice Location
- Address
- 37 BELMONT STREET 3RD FLOOR
- City
- Brockton
- State
- Massachusetts
- ZIP Code
- 02301
- Phone
- (617) 749-7484
Authorized Official
- Name
- MRS. EDNA LAURENT-TELLUS, LICSW
- Title
- CEO/FOUNDER
- Phone
- (617) 947-1860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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