Awakened Life Healing, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AWAKENED LIFE HEALING, LLC

Practice address

10801 Big Bend Rd
Kirkwood, MO 63122-6055

Phone

(314) 467-0441

Fax

(314) 677-3512

NPI assigned

Jan 28, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sarah Buehner, LCSW

Title

Owner

Phone

(410) 303-8946

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1366073546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 SUMMIT VIEW DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263847",
            "telephone_number": "314-640-5846",
            "fax_number": "314-677-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 BIG BEND RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226055",
            "telephone_number": "314-467-0441",
            "fax_number": "314-677-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENED LIFE HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "BUEHNER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-303-8946",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Armbruster
• Rachael Arnold, LCSW, PMH-C
• Vivian Aroh
• Ashfield Active Living and Wellness Communities, Inc.
• Rachel Aten, DPT, PT
• Katie Elizabeth Becher Ayres, M.ED., BCBA, LBA
• Back Specialist Chiropractic
• Casey Bader, COTA/L
• Lynn Carol Baer, RN, CS
• Sean B Bailey, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.