THE AWAKENING WELLNESS CLINIC, INC (NPI# 1710504642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710504642 |
| Entity Type | Organization |
| Organization Name | THE AWAKENING WELLNESS CLINIC, INC |
| Practice Address |
8 Carver Rd Jacksonville NC 28540-7010 |
| Practice Telephone | 9103403630 |
| Practice Fax Number | 9105971007 |
| Mailing Telephone | 9103403630 |
| Mailing Fax Number | 9105971007 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | MS. NICOLE DENICE BARNES (CEO) |
| Authorized Official Telephone | 9103403630 |
| Authorized Official Credential | CSAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
8 CARVER RD |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-7010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| 1982081352 | Wells Center, Inc | Substance Abuse Rehabilitation Facility | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2015-05-05 |
| 1760548184 | Lakeview Health Systems, LLC | Substance Abuse Rehabilitation Facility | 1900 Corporate Square Ct., Jacksonville, FL 32216 | 2006-12-29 |
| 1508922931 | Stepping Stone Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1815 Corporate Square Blvd, Jacksonville, FL 32216-0325 | 2006-12-29 |
| 1205933561 | Wells Center Inc | Substance Abuse Rehabilitation Facility | 1300 Lincoln Avenue, Jacksonville, IL 62650 | 2006-09-20 |
| 1356305338 | Gateway Community Services Inc | Substance Abuse Rehabilitation Facility | 555 Stockton St, Jacksonville, FL 32204-2534 | 2006-04-14 |
| 1235629379 | Human Services Council | Substance Abuse Rehabilitation Facility | 233 E Bay St Ste 916, Jacksonville, FL 32202-3456 | 2018-05-15 |
| 1811499114 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2018-03-02 |
| 1780134874 | Recovery Coast | Substance Abuse Rehabilitation Facility | 340 16th Ave N, Jacksonville, FL 32250-4819 | 2016-10-12 |
| 1316325962 | Wells Center, Inc | Substance Abuse Rehabilitation Facility | 1300 Lincoln Ave, Jacksonville, IL 62650-3112 | 2015-05-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
Please comment or provide details below to improve the information on THE AWAKENING WELLNESS CLINIC, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.