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Organization
DIVINE AWAKENING CENTER LLC
Active
Organization
DIVINE AWAKENING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDEE DOWNES LMFT (CLINICAL DIRECTOR)
(385) 319-1107
Entity
Organization
Contact information
Practice address
121 W 200 S, FARMINGTON, UT 84025-2327
(385) 319-1107
Mailing address
121 W 200 S, FARMINGTON, UT 84025-2327
(385) 319-1107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
05/29/2023
Last updated
11/01/2023
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