Awjw1 LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

PC007754 Issued in PA

Legal business name

AWJW1 LLC

Doing business as

Sobriety Solutions PA

Practice address

1000 Germantown Pike Ste E1
Plymouth Meeting, PA 19462-2485

Phone

(484) 965-9529

NPI assigned

Mar 8, 2016

Last updated

Mar 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steve Kushner, LPC

Title

Chief Clincial Officer

Phone

(484) 965-9524

Specialties & licenses 3

Addresses

Other names 1

• Sobriety Solutions PA Doing business as

Tax ID family

Awjw1 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Awjw1 LLC

  dba Sobriety Solutions Center City

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Philadelphia, PA
  • NPI 1215796115
  NPD tax ID

Locations

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1457712218",
    "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": "1000 GERMANTOWN PIKE STE E1",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622485",
            "telephone_number": "484-965-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWJW1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "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 CLINCIAL OFFICER",
        "authorized_official_telephone_number": "484-965-9524",
        "authorized_official_name_prefix": "Mr.",
        "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": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "PC007754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sobriety Solutions PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica L Avellino, NURSE
• Joyce A Aversa, LPN
• Brenda Avery
• Tonya Avery, LPN
• Constance Awanayah, LPN
• Olusola C. Awodiya
• Adeola Awofiranye, LPN
• Bankole Awopetu, RN
• Adunniola Awotedu
• Jennifer Ayala, LPN

• Substance Use Disorder Rehabilitation Clinic/Center in Plymouth Meeting, PA
• Providers in Plymouth Meeting, 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.