| Awakening, Llc | |
|
1130 W Mill Rd Ste 211 Evansville IN 47710-3801 | |
| (812) 639-3138 | |
| Not Available |
| Full Name | Awakening, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1130 W Mill Rd Ste 211, Evansville, Indiana |
| Authorized Official Name and Position | Stephanie Cueche (OWNER & PSYCHOTHERAPIST) |
| Authorized Official Contact | 8126393138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakening, Llc 1133 W Mill Rd Ste 211 Evansville IN 47710-3806 Ph: (812) 612-1488 | Awakening, Llc 1130 W Mill Rd Ste 211 Evansville IN 47710-3801 Ph: (812) 639-3138 |
| NPI Number | 1497345425 |
|---|---|
| Provider Enumeration Date | 01/23/2021 |
| Last Update Date | 05/05/2021 |
| Certification Date | 05/05/2021 |
| Medicare PECOS PAC ID | 2466867601 |
|---|---|
| Medicare Enrollment ID | O20210219001885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497345425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stephanie Cueche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952769028 PECOS PAC ID: 8820393648 Enrollment ID: I20160216001648 |
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