Organization
AWAKEN THE SPIRIT LLC
Active
Other names
Awaken The Spirit Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL A DEPETRO (MANAGING DIRECTOR)
(410) 747-9743
Entity
Organization
Contact information
Practice address
9 NEWBURG AVE STE 100, CATONSVILLE, MD 21228-5168
(410) 747-9743
(410) 747-9910
Mailing address
9 NEWBURG AVE STE 100, CATONSVILLE, MD 21228-5168
(410) 747-9743
(410) 747-9910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09177
MD
171100000X
Acupuncturist
U01507
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149702200
—
MD
01
—
929R
MEDICARE
MD
Enumeration date
11/20/2015
Last updated
09/02/2025
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