Awakened Life Healing, Llc | |
10801 Big Bend Rd Kirkwood MO 63122-6055 | |
(314) 467-0441 | |
(314) 677-3512 |
Full Name | Awakened Life Healing, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 10801 Big Bend Rd, Kirkwood, Missouri |
Authorized Official Name and Position | Sarah Buehner (OWNER) |
Authorized Official Contact | 4103038946 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Awakened Life Healing, Llc 597 Summit View Dr Fenton MO 63026-3847 Ph: (314) 640-5846 | Awakened Life Healing, Llc 10801 Big Bend Rd Kirkwood MO 63122-6055 Ph: (314) 467-0441 |
NPI Number | 1366073546 |
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Provider Enumeration Date | 01/28/2020 |
Last Update Date | 01/28/2020 |
Certification Date | 01/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366073546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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