| Awaken Wellness Center, Inc. | |
|
200 Little Falls St Ste 205 Falls Church VA 22046-4302 | |
| (703) 201-0108 | |
| Not Available |
| Full Name | Awaken Wellness Center, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 200 Little Falls St Ste 205, Falls Church, Virginia |
| Authorized Official Name and Position | Katherine E Castelo (CEO/PSYCHOTHERAPIST) |
| Authorized Official Contact | 7032010108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awaken Wellness Center, Inc. 200 Little Falls St Ste 205 Falls Church VA 22046-4302 Ph: (703) 201-0108 | Awaken Wellness Center, Inc. 200 Little Falls St Ste 205 Falls Church VA 22046-4302 Ph: (703) 201-0108 |
| NPI Number | 1811184195 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 12/13/2016 |
| Medicare PECOS PAC ID | 2769843838 |
|---|---|
| Medicare Enrollment ID | O20230804003297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811184195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904006411 (Virginia) | Primary |
| Provider Name | Katherine Castelo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083745871 PECOS PAC ID: 4486015559 Enrollment ID: I20230804003382 |
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