MEDICARE: EQUINE AWAKENINGS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW9645	FL
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1619285046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EQUINE AWAKENINGS, INC.

Provider Business Mailing Address
First Line	:	1515 5TH ST
Second Line	:
City	:	LOS OSOS
State	:	CA
Zip	:	93402-1611
Country	:	US
Telephone Number	:	561-598-9118
Fax Number	:

Provider Business Practice Location Address
First Line	:	6613B BAY LAUREL PL
Second Line	:
City	:	AVILA BEACH
State	:	CA
Zip	:	93424-3504
Country	:	US
Telephone Number	:	561-598-9118
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HOLLY WHALL
Credential	:	LCSW
Telephone Number	:	561-598-9118

Provider Enumeration Date	:	09/20/2010
Last Update Date	:	04/26/2022

Similar Medicare Providers

1366437402 — DR. TIMOTHY HOLLISTER JONES MD
Practice Location Address:

6621 BAY LAUREL PL STE A
AVILA BEACH, CA
93424-3504

Practice Phone: 805-556-7006
Practice Fax: 805-439-1482

1386788933 — DR. MARY JANE MEES L.AC. DAOM
Practice Location Address:

6639A BAY LAUREL PL
AVILA BEACH, CA
93424-3504

Practice Phone: 805-705-1792
Practice Fax:

1336396712 — INTEGRATED ACUPUNCTURE SERVICES, A PROFESSIONAL CORPORATION
Practice Location Address:

6639A BAY LAUREL PL
AVILA BEACH, CA
93424-3504

Practice Phone: 805-705-1792
Practice Fax: 805-705-1792

1992013312 — MS. HOLLY WHALL M.S.W., M.P.H., LCSW
Practice Location Address:

6613B BAY LAUREL PL
AVILA BEACH, CA
93424-3504

Practice Phone: 561-598-9118
Practice Fax:

1497116701 — TIMOTHY H. JONES, M.D., INC.
Practice Location Address:

6621 BAY LAUREL PL STE A
AVILA BEACH, CA
93424-3504

Practice Phone: 805-556-7006
Practice Fax: 805-439-1482

1750992863 — SEDGHI MOMENTUM HEALTH CHIROPRACTIC
Practice Location Address:

6680 BAY LAUREL PL STE G
AVILA BEACH, CA
93424-3504

Practice Phone: 805-541-6966
Practice Fax:

Directions to “EQUINE AWAKENINGS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.