Provider Demographics
NPI:1538816376
Name:AWARENESS TO CHANGE LLC
Entity type:Organization
Organization Name:AWARENESS TO CHANGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:YERK-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:610-248-8257
Mailing Address - Street 1:1401 N CEDAR CREST BLVD STE 75
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2307
Mailing Address - Country:US
Mailing Address - Phone:610-248-8257
Mailing Address - Fax:
Practice Address - Street 1:1401 N CEDAR CREST BLVD STE 75
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-2307
Practice Address - Country:US
Practice Address - Phone:610-248-8257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty