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Organization

AWAKE THERAPY MANAGEMENT PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIAN HENDERSON (MANAGING MEMBER)
(317) 965-7887
Entity
Organization

Contact information

Practice address
9310 SAN MARCO DR, MISSOURI CITY, TX 77459-7376
(317) 965-7887
(866) 844-9064
Mailing address
9310 SAN MARCO DR, MISSOURI CITY, TX 77459-7376
(317) 965-7887

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
183500000X
Pharmacist
1835P1200X
Pharmacotherapy Pharmacist
1835P1300X
Psychiatric Pharmacist

Other

Enumeration date
05/21/2025
Last updated
05/21/2025
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