Organization
AWAKEN MIND & BODY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN KENNEDY MA, LPC, NCC (CO-OWNER)
(616) 287-2833
Entity
Organization
Contact information
Practice address
612 MILLER DR, GRAND HAVEN, MI 49417
(616) 287-2833
Mailing address
4441 GRAND HAVEN RD STE A, NORTON SHORES, MI 49441-5507
(616) 414-5506
(231) 252-1769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
02/28/2024
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