| Awakened Vitality, Llc | |
|
7475 Hubbard Ave Ste 203 Middleton WI 53562-3146 | |
| (608) 620-3062 | |
| Not Available |
| Full Name | Awakened Vitality, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7475 Hubbard Ave Ste 203, Middleton, Wisconsin |
| Authorized Official Name and Position | Casey-ann R Dohse (OWNER/MANAGER) |
| Authorized Official Contact | 6085014488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakened Vitality, Llc 7306 Companion Ln Middleton WI 53562-1033 Ph: (608) 501-4488 | Awakened Vitality, Llc 7475 Hubbard Ave Ste 203 Middleton WI 53562-3146 Ph: (608) 620-3062 |
| NPI Number | 1023707544 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Certification Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023707544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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