Organization
AWAKENED SOUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA A OUELLETTE (OWNER)
(207) 608-9896
Entity
Organization
Contact information
Practice address
551 ALFRED ST, BIDDEFORD, ME 04005-9474
(207) 608-9896
Mailing address
220 BOYDS CORNER RD, SOUTH BERWICK, ME 03908-2011
(207) 608-9896
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
10/25/2024
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