Awakened Soul LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AWAKENED SOUL LLC

Practice address

551 Alfred St
Biddeford, ME 04005-9474

Phone

(207) 608-9896

NPI assigned

Jul 17, 2024

Last updated

Oct 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julia A OuelletteNPI 1548019474

Title

Owner

Phone

(207) 608-9896

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia Alexandra Ouellette, LCPC-C

  • Mental Health Counselor
  • Biddeford, ME
  • NPI 1548019474
  NPD Authorized official

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1417795105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BOYDS CORNER RD",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039082011",
            "telephone_number": "207-608-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059474",
            "telephone_number": "207-608-9896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Boyds Corner Rd",
            "address_purpose": "LOCATION",
            "city": "South Berwick",
            "state": "ME",
            "postal_code": "039082011",
            "country_code": "US",
            "telephone_number": "207-608-9896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AWAKENED SOUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-608-9896"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Arsenault, ANP
• Fernanda Cerqueira Asel, PA-C
• Mariah Aubin
• Jennifer Jean Avery
• Lynn M. Avigo, LADC, CCS
• Donna Marie Ayres, APRN-CNP
• B. Well Collaborative Care, LLC
• Ryan James Babinsky, CRNA
• Allison Kerry Baird, NP, RN
• Zorica Bajic, PA-C

• Mental Health Counselor in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.