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Contact Information

AWAKENED MIND PSYCHIATRY - WHOLE HEALTH AND PREVENTION RESOURCES, LLC
1052 OAK FOREST DR
SUITE 200
ONALASKA, WI54650-3427
 Phone: 608-781-6463
 Fax: 608-781-6467
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for AWAKENED MIND PSYCHIATRY - WHOLE HEALTH AND PREVENTION RESOURCES, LLC

NPI # 1487886289
LBN Legal business name AWAKENED MIND PSYCHIATRY - WHOLE HEALTH AND PREVENTION RESOURCES, LLC
Authorized official CHRIS LUCEY - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/13/2009
Last updated 08/25/2009 - About 17 years ago
Identifiers
WI License # 40442020
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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