# AWE THERAPY

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

## Provider details

- **NPI number:** 1922836980
- **Authorized official:** ELLIE WHITEAKER (PART OWNER)
- **Authorized official phone:** (612) 361-6504

## Contact information

- **Practice address:** 4470 W 78TH STREET CIR, BLOOMINGTON, MN 55435-5408
- **Practice address phone:** (612) 208-6204
- **Mailing address:** 5844 OAKLAWN AVE, EDINA, MN 55424-1918
- **Mailing address phone:** (319) 360-5768

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2024
- **Last updated:** 07/22/2024