Awakening Autism Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AWAKENING AUTISM CENTER

Practice address

62 E Main St
Statesboro, GA 30458-4844

Phone

(404) 964-0906

NPI assigned

Nov 19, 2021

Organization subpart

No

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

Authorized official

Name

Kenyotta HannahNPI 1649405572

Title

Founder

Phone

(404) 964-0906

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenyotta Hannah, LPC

  • Professional Counselor
  • East Point, GA
  • NPI 1649405572
  NPD Authorized official

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1487311981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33",
            "city": "DOVER",
            "state": "GA",
            "postal_code": "304240033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E MAIN ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584844",
            "telephone_number": "404-964-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "KENYOTTA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "404-964-0906"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atekha Nephrology Clinic
• Courage A Atekha, M.D.
• Atys B Cope, MD, LLC
• Augusta Vamc
• Rosa M Austin, FNP
• Judy Ann Bacon, LPN
• Nancy Thornton Bailey, P.A.
• Melanie S. Baker
• Cary Balzer, DC
• Basil Sohail Bangash

• All providers in Statesboro, GA
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.