1811415466 NPI number — AWAKEN PSYCHOLOGY LLC

Table of content: (NPI 1811415466)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811415466 NPI number — AWAKEN PSYCHOLOGY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AWAKEN PSYCHOLOGY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811415466
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2552 N MAIZE CT SUITE 600
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WICHITA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67205
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
316-202-9492
Provider Business Mailing Address Fax Number:
316-202-9496

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2552 N MAIZE CT SUITE 600
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WICHITA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-202-9492
Provider Business Practice Location Address Fax Number:
316-202-9496
Provider Enumeration Date:
09/05/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MULLOY
Authorized Official First Name:
BRYNNE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER, DIRECTOR
Authorized Official Telephone Number:
316-202-9492

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X , with the licence number:  2476 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1700135498 , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".