Awake & Align Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2017008132 Issued in MO

Legal business name

AWAKE & ALIGN WELLNESS, LLC

Practice address

1760 Arundel Dr
Florissant, MO 63033-6325

Phone

(503) 267-0143

NPI assigned

Jul 10, 2018

Last updated

Jul 10, 2018By 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

Chanel Myanna Mitchell, MSW, LCSW

Title

Owner

Phone

(503) 267-0143

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1760978068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 ARUNDEL DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336325",
            "telephone_number": "503-267-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 ARUNDEL DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336325",
            "telephone_number": "503-267-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKE & ALIGN WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHANEL",
        "authorized_official_middle_name": "MYANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-267-0143",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017008132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamya Atkins
• Tiffany Atkinson
• Attentive in-Home Health Care
• Katherine L Austin, MD
• Auxiliary in-Home Services LLC
• Axus Consumer Directed Services LLC
• B & J Consumer Directed Services
• B & J Consumer Directed Services (B&J Consumer Directed Service, LLC)
• B&M Counseling LLC
• Lindsay Michelle Babb

• Clinical Social Worker in Florissant, MO
• Providers in Florissant, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.