Organization
AWAKENED MIND PSYCHIATRY - WHOLE HEALTH AND PREVENTION RESOURCES, LLC
Active
Other names
Awakened Mind Vitality Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRIS LUCEY R.N. (OFFICE MANAGER)
(608) 781-6463
Entity
Organization
Contact information
Practice address
1052 OAK FOREST DR, SUITE 200, ONALASKA, WI 54650-3427
(608) 781-6463
(608) 781-6467
Mailing address
1052 OAK FOREST DR, SUITE 200, ONALASKA, WI 54650-3427
(608) 781-6463
(608) 781-6467
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40442020
WI
Other
Enumeration date
08/13/2009
Last updated
08/25/2009
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