<Unavail>

LBN: Angelic Awakenings, Inc
<Unavail> is an health care organization with primary practice located at 319 Seth Cir , Madison WI 53716-2120. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Angelic Awakenings, Inc can be contacted via phone (608) 345-3552, or through Gay, Kristine via phone (608) 345-3552.

Contact Information

Primary practice address
319 Seth Cir Madison WI 53716-2120
Phone: (608) 345-3552
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gay, Kristine Master of Science in Social Work (MSSW)
Phone: (608) 345-3552

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2437-123 Wisconsin

Profile Details

NPI number 1881726370
LBN Legal business name Angelic Awakenings, Inc
DBA Doing business as <Unavail>
Authorized official Gay, Kristine Master of Science in Social Work (MSSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2007
Last updated Sep 9th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881726370 NPPES
Wisconsin Other WI2256 MEDICARE PTAN
Wisconsin MEDICAID 42197500 MEDICARE PTAN

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