Organization
AWAKENED VITALITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY-ANN R DOHSE LMFT (OWNER/MANAGER)
(608) 501-4488
Entity
Organization
Contact information
Practice address
7475 HUBBARD AVE STE 203, MIDDLETON, WI 53562-3146
(608) 620-3062
Mailing address
7306 COMPANION LN, MIDDLETON, WI 53562-1033
(608) 501-4488
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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