# AWAKENED POTENTIAL THERAPY

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

## Provider details

- **NPI number:** 1609765718
- **Authorized official:** VICTORIA PEKHNIK LMFT (OWNER/ FOUNDRESS)
- **Authorized official phone:** (347) 495-7163

## Contact information

- **Practice address:** 103 PARTRIDGE RUN, BRISTOL, CT 06010-8957
- **Practice address phone:** (347) 495-7163
- **Mailing address:** 103 PARTRIDGE RUN, BRISTOL, CT 06010-8957
- **Mailing address phone:** (347) 495-7163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2025
- **Last updated:** 07/02/2025