Healthcare Provider Details

I. General information

NPI: 1043957905
Provider Name (Legal Business Name): AWAKENING MOTHER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2022
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2537 LEXINGTON ST
LAFAYETTE CO
80026-3413
US

IV. Provider business mailing address

2537 LEXINGTON ST
LAFAYETTE CO
80026-3413
US

V. Phone/Fax

Practice location:
  • Phone: 303-845-2397
  • Fax:
Mailing address:
  • Phone: 303-845-2397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name: JULIE SANDERS
Title or Position: FOUNDER
Credential:
Phone: 303-845-2397