Awakenings

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

251S00000X Issued in WA

Legal business name

AWAKENINGS

Practice address

920 Fir St
Longview, WA 98632-2525

Phone

(360) 423-2806

Fax

(360) 423-5128

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By 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

Ms. Melody Kay Lorenzo, CDPNPI 1073083580

Title

Administrator

Phone

(360) 423-2806

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melody Kay Lorenzo

  • Addiction (Substance Use Disorder) Psychologist
  • Kelso, WA
  • NPI 1073083580
  Authorized official Same address or phone

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801018528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 FIR ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322525",
            "telephone_number": "360-423-2806",
            "fax_number": "360-423-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FIR ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322525",
            "telephone_number": "360-423-2806",
            "fax_number": "360-423-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LORENZO",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-423-2806",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "251S00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CERTIFICATION",
            "identifier": "081193",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Longview, WA
• Providers in Longview, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.