| Awakened Soul Llc | |
|
551 Alfred St Biddeford ME 04005-9474 | |
| (207) 608-9896 | |
| Not Available |
| Full Name | Awakened Soul Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 551 Alfred St, Biddeford, Maine |
| Authorized Official Name and Position | Julia A Ouellette (OWNER) |
| Authorized Official Contact | 2076089896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakened Soul Llc 220 Boyds Corner Rd South Berwick ME 03908-2011 Ph: (207) 608-9896 | Awakened Soul Llc 551 Alfred St Biddeford ME 04005-9474 Ph: (207) 608-9896 |
| NPI Number | 1417795105 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417795105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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