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Organization
SOUL AWAKENING LLC
Active
Organization
SOUL AWAKENING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA THORNE MA, LIMHP, LADC (THERAPIST AND CEO)
(402) 805-1099
Entity
Organization
Contact information
Practice address
4910 NORMAL BLVD STE D, LINCOLN, NE 68506-6300
(531) 500-4271
(531) 500-5447
Mailing address
2311 S 36TH ST, LINCOLN, NE 68506-6626
(402) 805-1099
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
04/25/2024
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