| Awake Wellness Center Llc | |
|
8879 W Flamingo Rd Ste 101 Las Vegas NV 89147-8732 | |
| (702) 550-2491 | |
| Not Available |
| Full Name | Awake Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8879 W Flamingo Rd Ste 101, Las Vegas, Nevada |
| Authorized Official Name and Position | Kristina A Andaya (THERAPIST) |
| Authorized Official Contact | 7026261072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awake Wellness Center Llc 4340 W Arby Ave Las Vegas NV 89118-5108 Ph: (702) 626-1072 | Awake Wellness Center Llc 8879 W Flamingo Rd Ste 101 Las Vegas NV 89147-8732 Ph: (702) 550-2491 |
| NPI Number | 1417521923 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417521923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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