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General NPI Number Information
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NPI Number | 1811184195
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Entity Type | Organization
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Legal Business Name | AWAKEN WELLNESS CENTER, INC.
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 200 LITTLE FALLS ST STE 205
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City | FALLS CHURCH
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State | VA
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Zip | 22046-4302
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Country | US
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Telephone | 703-201-0108
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Fax |
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Provider Business Mailing Address
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Address Line | 6709 BELLAMY AVE
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City | SPRINGFIELD
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State | VA
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Zip | 22152-3025
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Country | US
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Telephone | 703-201-0108
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Fax |
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Authorized Official
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Title or Position | CEO/PSYCHOTHERAPIST
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Name | MRS. KATHERINE E CASTELO
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Credential | LCSW
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Telephone | 703-201-0108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904006411
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License Number State | VA
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