| Awakening Wholeness Llc | |
|
9300 Hennepin Town Rd Ste B Eden Prairie MN 55347-3072 | |
| (303) 521-6463 | |
| Not Available |
| Full Name | Awakening Wholeness Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 9300 Hennepin Town Rd Ste B, Eden Prairie, Minnesota |
| Authorized Official Name and Position | Lana Abboud (OWNER/PRACTITIONER) |
| Authorized Official Contact | 3035216463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakening Wholeness Llc 5123 W 98th St # 2055 Minneapolis MN 55437-2040 Ph: (612) 239-1464 | Awakening Wholeness Llc 9300 Hennepin Town Rd Ste B Eden Prairie MN 55347-3072 Ph: (303) 521-6463 |
| NPI Number | 1164145470 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 09/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164145470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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