WI AWAKEN LLC NPI 1073979530

NPI Information

  • NPI: 1073979530
  • Provider Name: WI AWAKEN LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 157 S PINE ST
    BURLINGTON, WI
    ZIP 53105
  • Phone: (262) 342-5188

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NPI Details

WI AWAKEN LLC is a mental health (including community mental health center) clinic center in Burlington, WI. WI AWAKEN LLC NPI is 1073979530. The provider is registered as an organization entity type.

The provider's business location address is:

157 S PINE ST
BURLINGTON, WI
ZIP 53105-911
Phone: (262) 342-5188

The provider's authorized official is Stephanie Coates .
The authorized official title is Therapist and has the following contact phone number (262) 379-0942.

The enumeration date for this NPI number is 1/13/2016 and was last updated on 1/13/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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