| Specialty | Taxonomy Code | |
|---|---|---|
| * | Recovery Care | 261QR0800X |
| Adult Mental Health | 261QM0850X | |
| Rehabilitation, Substance Use Disorder | 261QR0405X |
* Indicates primary specialty
| NPI Number | 1962947101 |
| Legal business name LBN |
AWAKENING BEHAVIORAL HEALTH, LLC |
| Authorized official | KERRYLYNN BACA-PELPHREY - (CCO, EXEC DIR PAYOR RELATIONS) |
| Entity | Organization |
| Organization subpart | Yes |
| Enumeration date | 12/26/2016 |
| Last updated | 11/27/2023 - About 3 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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