Organization · Type 2 NPI

Soulful Med Spa, LLC dba Awaken Aesthetics

Health Service Clinic/Center · Warren, OH

NPI number 1619821279 Active

Practice location

3050 Elm Rd NE Ste 2
Warren, OH 44483-2620

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100XNone listed

Health Service Clinic/Center: Definition to come...

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About NPI 1619821279

Soulful Med Spa, LLC dba Awaken Aesthetics's National Provider Identifier is 1619821279, issued on Feb 23, 2026. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Warren, OH. The record was last updated on Feb 23, 2026.