Organization
AWAKE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISTINA A ANDAYA MFTI (THERAPIST)
(702) 626-1072
Entity
Organization
Contact information
Practice address
8879 W FLAMINGO RD STE 101, LAS VEGAS, NV 89147-8732
(702) 550-2491
Mailing address
4340 W ARBY AVE, LAS VEGAS, NV 89118-5108
(702) 626-1072
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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