Organization
AWAKEN360, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER M. FREEMAN M.A., LPC (FOUNDER & DIRECTOR)
(417) 251-1750
Entity
Organization
Contact information
Practice address
829 W ATLANTIC ST, SPRINGFIELD, MO 65803-1517
(417) 251-1750
Mailing address
PO BOX 495, SPRINGFIELD, MO 65801-0495
(417) 251-1750
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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