# AWAKEN RECOVERY COUNSELING CENTER LLC

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

## Provider details

- **NPI number:** 1629952882
- **Authorized official:** JESSICA MARIE COLEMAN LICSW (CEO/THERAPIST)
- **Authorized official phone:** (763) 331-2161

## Contact information

- **Practice address:** 1650 W END BLVD STE 100, ST LOUIS PARK, MN 55416-5369
- **Practice address phone:** (763) 331-2161
- **Practice address fax:** (763) 331-2161
- **Mailing address:** 1650 W END BLVD STE 100, ST LOUIS PARK, MN 55416-5369
- **Mailing address phone:** (763) 331-2161
- **Mailing address fax:** (763) 331-2161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 08/01/2025
- **Last updated:** 03/01/2026