Wi Awaken LLC
NPI #1073979530 in Burlington, Wisconsin
Provider Information
- NPI Number
- 1073979530
- Entity Type
- Organization
- Organization Name
- Wi Awaken LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 13, 2016
- Last Updated
- Jan 13, 2016
Practice Location
- Address
- 157 S PINE ST
- City
- Burlington
- State
- Wisconsin
- ZIP Code
- 53105-1911
- Phone
- (262) 342-5188
Authorized Official
- Name
- STEPHANIE COATES, MS, LPC, SAC
- Title
- THERAPIST
- Phone
- (262) 379-0942
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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