Awaken by Wellness LLC
NPI #1952117533 in Terry, Mississippi
Provider Information
- NPI Number
- 1952117533
- Entity Type
- Organization
- Organization Name
- Awaken by Wellness LLC
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Dec 9, 2024
- Last Updated
- Dec 9, 2024
Practice Location
- Address
- 606 NORTH UTICA STREET
- City
- Terry
- State
- Mississippi
- ZIP Code
- 39170
- Phone
- (228) 213-7972
Authorized Official
- Name
- AGA DANEEN YOUNG, LIFESTYLE/WELLNESS
- Title
- PRACTITIONER
- Phone
- (228) 213-7972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
| Case Management |
| Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
| Preferred Provider Organization |
| Clinic/Center - Community Health — Community Health |
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