| Awake & Align Wellness, Llc | |
|
1760 Arundel Dr Florissant MO 63033-6325 | |
| (503) 267-0143 | |
| Not Available |
| Full Name | Awake & Align Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1760 Arundel Dr, Florissant, Missouri |
| Authorized Official Name and Position | Chanel Myanna Mitchell (OWNER) |
| Authorized Official Contact | 5032670143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awake & Align Wellness, Llc 1760 Arundel Dr Florissant MO 63033-6325 Ph: (503) 267-0143 | Awake & Align Wellness, Llc 1760 Arundel Dr Florissant MO 63033-6325 Ph: (503) 267-0143 |
| NPI Number | 1760978068 |
|---|---|
| Provider Enumeration Date | 07/10/2018 |
| Last Update Date | 07/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760978068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2017008132 (Missouri) | Primary |
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