Awaken Psychology Llc

LBN: Awaken Psychology Llc
Awaken Psychology Llc is an health care organization with primary practice located at 2552 N Maize Ct Suite 600 , Wichita KS 67205. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Awaken Psychology Llc can be contacted via phone (316) 202-9492, or through Mulloy, Brynne via phone (316) 202-9492.

Contact Information

Primary practice address
2552 N Maize Ct Suite 600 Wichita KS 67205
Phone: (316) 202-9492
Fax: (316) 202-9496
Website:
Map and Directions
Authorized official contact:
Name: Mulloy, Brynne PSYD
Phone: (316) 202-9492

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 2476 Kansas

Profile Details

NPI number 1811415466
LBN Legal business name Awaken Psychology Llc
DBA Doing business as
Authorized official Mulloy, Brynne PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811415466 NPPES
Kansas MEDICAID 1700135498

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