Organization
SOULFUL MED SPA, LLC DBA AWAKEN AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHETNA PATEL APRN (OWNER)
(330) 224-5082
Entity
Organization
Contact information
Practice address
3050 ELM RD NE STE 2, WARREN, OH 44483-2620
(330) 469-5059
Mailing address
3050 ELM RD NE STE 2, WARREN, OH 44483-2620
(330) 469-5059
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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