Awjw1 LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

AWJW1 LLC

Practice address

100 S Broad St Ste 2230
Philadelphia, PA 19110-1021

Phone

(484) 965-9529

NPI assigned

Mar 14, 2024

Organization subpart

Yes

Parent organization

UNKNOWNAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steve Kushner, LPC

Title

Chief Clinical Officer

Phone

(484) 965-9529

Specialties & licenses 2

Addresses

Other names 1

• Sobriety Solutions Center City Doing business as

Tax ID family

Awjw1 LLC2 organizations share this tax ID, including this one

Part of

Awjw1 LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Awjw1 LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Plymouth Meeting, PA
  • NPI 1457712218
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1215796115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GERMANTOWN PIKE STE E1",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622485",
            "telephone_number": "484-965-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST STE 2230",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101021",
            "telephone_number": "484-965-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWJW1 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNKNOWN",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "KUSHNER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "484-965-9529",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sobriety Solutions Center City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yasmine Awais, ATR-BC, ATCS
• Awakening Counseling & Consulting, LLC
• Awakenings, LLC
• Marina Aweeda, MD
• Awesome Life Skills LLC
• Oluwakemi T Awopetu, M.D.
• Bharat K. Awsare, M.D.
• Avery Axel, PSYD
• Anna Axelrod
• David J. Axelrod, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.