Awaken The Spirit Wellness Center
LBN: Awaken The Spirit Llc
Awaken The Spirit Wellness Center is an health care organization with primary practice located at 9 Newburg Ave Ste 100 , Catonsville MD 21228-5168. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Acupuncturist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Awaken The Spirit Llc can be contacted via phone (410) 747-9743, or through Depetro, Cheryl A via phone (410) 747-9743.
Contact Information
Primary practice address
9 Newburg Ave Ste 100
Catonsville MD 21228-5168
Phone: (410) 747-9743
Fax: (410) 747-9910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 09177 | Maryland |
| Other Service Providers / Acupuncturist | 171100000X | U01507 | Maryland |
Profile Details
| NPI number | 1124492665 |
|---|---|
| LBN Legal business name | Awaken The Spirit Llc |
| DBA Doing business as | Awaken The Spirit Wellness Center |
| Authorized official | Depetro, Cheryl A LCSW-C, LAC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 20th, 2015 |
| Last updated | Sep 26th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124492665 | NPPES |
| Maryland | Other | 929R | MEDICARE |
| Maryland | MEDICAID | 149702200 | MEDICARE |
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