Awakened Family Therapy, PLLC

Key facts

NPI

1982400628

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Counselor 101YM0800X

Legal business name

AWAKENED FAMILY THERAPY, PLLC

Practice address

739 Bluff City Hwy
St. 5
Bristol, TN 37620-4637

Phone

(423) 217-3583

NPI assigned

Feb 24, 2025

Organization subpart

No

Authorized official

Name

Candice Hutchens NPI 1093312910

Title

Owner

Phone

(423) 217-3583

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Candice Hutchens, LMFT Marriage & Family Therapist · Bristol, TN · NPI 1093312910
  NPD Authorized official

National Provider Directory

Specialties & licenses

Addresses

Other names

• Awakened Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 24, 2025.

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1982400628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 BLUFF CITY HWY",
            "address_2": "ST. 5",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204637",
            "telephone_number": "423-217-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 BLUFF CITY HWY",
            "address_2": "ST. 5",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204637",
            "telephone_number": "423-217-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENED FAMILY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-23",
        "status": "A",
        "authorized_official_last_name": "HUTCHENS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-217-3583"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awakened Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alexis Codington Autrey, PHARM.D.
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• Saralee A Bailey, CRNA
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All providers in Bristol, TN · Mental Health Counselor in Tennessee