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AWAKEN WELLNESS NC LLC NPI 1518630599


NPI Information

NPI: 1518630599
Provider Name: AWAKEN WELLNESS NC, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2529 RAEFORD RD
FAYETTEVILLE, NC
ZIP 28305
Phone: (910) 644-0588
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AWAKEN WELLNESS NC, LLC is a clinic center in Fayetteville, NC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AWAKEN WELLNESS NC, LLC NPI is 1518630599. The provider is registered as an organization entity type.

The provider's business location address is:

2529 RAEFORD RD
FAYETTEVILLE, NC
ZIP 28305-098
Phone: (910) 644-0588
Fax: (725) 209-1671

The provider's authorized official is Tanya Gibbs .
The authorized official title is Owner/president and has the following contact phone number (910) 644-0588.

The enumeration date for this NPI number is 7/27/2021 and was last updated on 8/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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