Inner Awakening Therapy Center Llc - Mental Health Clinic in Deland, FL

Inner Awakening Therapy Center Llc is a mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Deland, Florida. The current practice location for Inner Awakening Therapy Center Llc is 1575 Detrick Ave, Deland, Florida. For appointments, you can reach them via phone at (407) 906-8633. The mailing address for Inner Awakening Therapy Center Llc is 1575 Detrick Ave, Deland, Florida and phone number is (407) 906-8633.

Inner Awakening Therapy Center Llc is licensed to practice in Florida (license number MH14780) and its NPI number is 1205325297. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (407) 906-8633.

Contact Information

Inner Awakening Therapy Center Llc
1575 Detrick Ave
Deland
FL 32724-2042
(407) 906-8633
Not Available

Mental Health Clinic Profile

Full NameInner Awakening Therapy Center Llc
SpecialityClinic/center - Mental Health (including Community Mental Health Center)
Location1575 Detrick Ave, Deland, Florida
Authorized Official Name and PositionAdel M Ceballos-rosario (OWNER)
Authorized Official Contact4079068633
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Inner Awakening Therapy Center Llc
1575 Detrick Ave
Deland
FL 32724-2042

Ph: (407) 906-8633
Inner Awakening Therapy Center Llc
1575 Detrick Ave
Deland
FL 32724-2042

Ph: (407) 906-8633

NPI Details:

NPI Number1205325297
Provider Enumeration Date05/04/2018
Last Update Date10/04/2021
Certification Date10/04/2021

Medical Identifiers

Medical identifiers for Inner Awakening Therapy Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205325297NPI-NPPES
1205325297MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
103K00000XBehavior Analyst (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) MH14780 (Florida)Primary

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› Verified 8 days ago

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