| Organization Name: | AWARENESS COUNSELING CENTER OF THE INDIAN RIVER INC |
| NPI Number: | 1265631790 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GANGA MAYEE JOYCE WASSERMAN (PRESIDENT/OWNER) |
| Mailing Address: | 7766 Bay St #11 Sebastian |
| State: | FL US |
| Postal Code: | 329583427 |
| Phone Number: | 7725897008 |
| Fax Number: | 7725897008 |
| NPI Enumeration Date: | 07/14/2007 |
| NPI Last Update Date: | 02/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW6348 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |