# AWAKENED SOUL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417795105
- **Authorized official:** JULIA A OUELLETTE (OWNER)
- **Authorized official phone:** (207) 608-9896

## Contact information

- **Practice address:** 551 ALFRED ST, BIDDEFORD, ME 04005-9474
- **Practice address phone:** (207) 608-9896
- **Mailing address:** 220 BOYDS CORNER RD, SOUTH BERWICK, ME 03908-2011
- **Mailing address phone:** (207) 608-9896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2024
- **Last updated:** 10/25/2024