Awesome Life Skills LLC

Primary specialty

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

Legal business name

AWESOME LIFE SKILLS LLC

Practice address

709 N 2ND Street
Suite 400 #1035
Philadelphia, PA 19123-3108

Phone

(267) 972-0365

Fax

(267) 465-6360

NPI assigned

Dec 16, 2022

Last updated

Jan 13, 2023By 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

Christopher D Patchet, LCSWNPI 1154980092

Title

Owner

Phone

(267) 972-0365

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Christopher D Patchet

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1154980092
  NPD Authorized official

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1841902343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N 2ND STREET",
            "address_2": "SUITE 400 #1035",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233108",
            "telephone_number": "267-972-0365",
            "fax_number": "267-465-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N 2ND STREET",
            "address_2": "SUITE 400 #1035",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233108",
            "telephone_number": "267-972-0365",
            "fax_number": "267-465-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWESOME LIFE SKILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "PATCHET",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-972-0365",
        "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": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopherpatchet@awesomelifeskills.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "709 N 2nd Street",
            "address_2": "Suite 400 #1035",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191233108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marina Aweeda, MD
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• Oluwakemi T Awopetu, M.D.
• Bharat K. Awsare, M.D.
• Avery Axel, PSYD
• Anna Axelrod

• Mental Health Clinic/Center (Including Community Mental Health Center) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.