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AWAKEN AUSTIN LLC NPI 1528642295


NPI Information

NPI: 1528642295
Provider Name: AWAKEN AUSTIN, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 45D2260372

Address:
15300 HERO WAY W
LEANDER, TX
ZIP 78641
Phone: (954) 800-8387
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AWAKEN AUSTIN, LLC is a substance abuse rehabilitation facility in Leander, TX. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. AWAKEN AUSTIN, LLC NPI is 1528642295. The provider is registered as an organization entity type.

The provider's business location address is:

15300 HERO WAY W
LEANDER, TX
ZIP 78641-015
Phone: (954) 800-8387
Fax: (754) 212-0473

The provider's authorized official is Jon Obenoskey .
The authorized official title is Executive Director and has the following contact phone number (512) 618-3484.

The CLIA number assigned to this NPI record is 45D2260372 - other - residentialsubstance use with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2021 and was last updated on 11/22/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 5/5/2024

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