Equine Awakenings, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EQUINE AWAKENINGS, INC.

Doing business as

Center For Awakenings

Practice address

6613B Bay Laurel PL
Avila Beach, CA 93424-3504

Phone

(561) 598-9118

NPI assigned

Sep 20, 2010

Organization subpart

No

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

Authorized official

Name

Holly Whall, LCSWNPI 1992013312

Title

Owner

Phone

(561) 598-9118

Specialties & licenses 2

Addresses

Other names 1

• Center For Awakenings Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Whall, M.S.W., M.P.H., LCSW

  • Clinical Social Worker
  • Avila Beach, CA
  • NPI 1992013312
  NPD Authorized official

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1619285046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 5TH ST",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934021611",
            "telephone_number": "561-598-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6613B BAY LAUREL PL",
            "city": "AVILA BEACH",
            "state": "CA",
            "postal_code": "934243504",
            "telephone_number": "561-598-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINE AWAKENINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "WHALL",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-598-9118",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9645",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For Awakenings",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center For Awakenings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mitchell Don Brimage Sr., PMHNP-BC
• Helen Elizabeth Chadd, M.A, LMFT
• Kelly Givan, BCBA
• Michael Reynolds Harris, LMFT
• Integrated Acupuncture Services, a Professional Corporation
• Timothy Hollister Jones, MD
• Kenneth Dale Krone, M.D.

• Clinical Social Worker in Avila Beach, CA
• Providers in Avila Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.