Organization · Type 2 NPI
Awakened Life Healing, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Kirkwood, MO
NPI number
1366073546
Active
Practice location
10801 Big Bend Rd
Kirkwood, MO 63122-6055
Fax (314) 677-3512
Mailing address
597 Summit View Dr
Fenton, MO 63026-3847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
Other mental health clinic/center (including community mental health center) providers in Kirkwood
About NPI 1366073546
Awakened Life Healing, LLC's National Provider Identifier is 1366073546, issued on Jan 28, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Kirkwood, MO. The record was last updated on Jan 28, 2020.