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General NPI Number Information
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NPI Number | 1427879683
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Entity Type | Organization
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Legal Business Name | AWAKEN YOUR SERENITY, PLLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 8524 S WESTERN AVE STE 115
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-9248
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Country | US
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Telephone | 405-323-2317
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Fax |
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Provider Business Mailing Address
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Address Line | 8404 S COUNTRY CLUB DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-5814
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Country | US
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Telephone | 405-323-2317
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MACKENZIE CAMPOS
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Credential | LADC, LPC
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Telephone | 405-323-2317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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