Organization
AWAKENING WELLNESS PROFESSIONAL CORPORATION
Active
Organization
AWAKENING WELLNESS PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARION EASTON ALBURGER GITTINGS (OWNER/PRESIDENT)
(910) 470-2387
Entity
Organization
Contact information
Practice address
1508 MILITARY CUTOFF RD STE 205, WILMINGTON, NC 28403-5730
(910) 470-2387
Mailing address
313 APOLLO DR, WILMINGTON, NC 28405-3903
(910) 470-2387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005205
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2853434
MEDICARE PTAN
—
Enumeration date
11/30/2011
Last updated
03/24/2022
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