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

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

2 other providers at this address

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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.