AWAKEN360, INC.


Address: 829 W Atlantic St, Springfield, MO 65803-1517
Phone: 4172511750

AWAKEN360, INC. (NPI# 1275178451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275178451
Entity Type Organization
Organization Name AWAKEN360, INC.
Practice Address 829 W Atlantic St
Springfield
MO 65803-1517
Mailing Address Po Box 495
Springfield
MO 65801-0495
Practice Telephone 4172511750
Mailing Telephone 4172511750
Enumeration Date 2019-11-12
Last Update Date 2019-11-12
Authorized Official Name HEATHER M. FREEMAN (FOUNDER & DIRECTOR)
Authorized Official Telephone 4172511750
Authorized Official Credential M.A., LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
N 251B00000X Case Management Agencies
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 829 W ATLANTIC ST
City SPRINGFIELD
State MO
Zip Code 65803-1517

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104448216 Kathleen Gail Newell-lewis Registered Nurse 2345 E. Cherokee, Springfield, MO 65803 2020-05-12
1285145730 Meghan Roetto Social Worker 2130 N Glenstone, Springfield, MO 65803 2017-10-23
1346751757 John B Lehn Pharmacist 2625 N Kansas Expressway, Springfield, MO 65803 2017-10-12
1558805754 Bhg Xliii, LLC Clinic/Center 2551 W Kearney St, Springfield, MO 65803 2016-12-07
1962856187 Karissa Knight Counselor 2438 N Cottage, Springfield, MO 65803 2016-04-14
1417383290 Walgreens Community/Behavioral Health 1525 W Kearny, Springfield, MO 65803 2013-09-24
1790123479 Sarah Fontana Dentist 2241 N. Glenstone Ave., Springfield, MO 65803 2013-06-04
1942499587 Jeci Mora Ramos Jr. Hearing Instrument Specialist 2133 N Nettleton, Springfield, MO 65803 2007-10-19
1598891012 Dwight Richard Daugherty Dentist 3016 N Kentwood, Springfield, MO 65803 2007-02-26
1144388224 Bradley Douglas Graf Dentist 1410 E Kearney, Suite A, Springfield, MO 65803 2006-12-04
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1366055352 Joshua Dauner Counselor 819 N Boonville Ave, Springfield, MO 65802-3831 2020-08-28
1972114411 Doris Osiimwe Johnson Counselor 52 Elaine Cir # 52, Springfield, MA 01109-1205 2020-08-10
1003426610 Jy Counseling LLC Counselor 6054 Forrest Hollow Ln, Springfield, VA 22152-1428 2020-08-07
1912526674 Amy Christine Russell Counselor 317 30th St Apt 304d, Springfield, OR 97478-7619 2020-04-13
1588299184 Julie Patricia Slover Counselor 3331 S Parkview Ave, Springfield, MO 65804-4755 2020-03-04
1356986319 Three Dirty Birds LLC Counselor 805 Lorraine Dr, Springfield, PA 19064-1004 2019-11-14
1992348916 Tiffany Looney Counselor 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 2019-10-22
1588206346 Carrie Stormzand Counselor 4546 S Quail Creek Ave, Springfield, MO 65810-1678 2019-10-14
1366084295 Betty Jean Counselor 673 Morris Ave, Springfield, NJ 07081-1512 2019-10-11
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Competitor

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City SPRINGFIELD
Zip Code 65803

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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