Provider Demographics
NPI:1154054203
Name:AWAKENINGS ACUPUNCTURE, PLLC
Entity Type:Organization
Organization Name:AWAKENINGS ACUPUNCTURE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EAMP, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:EAMP
Authorized Official - Phone:360-376-4700
Mailing Address - Street 1:6522 FREMONT AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5358
Mailing Address - Country:US
Mailing Address - Phone:360-376-4700
Mailing Address - Fax:206-299-4449
Practice Address - Street 1:6522 FREMONT AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5358
Practice Address - Country:US
Practice Address - Phone:360-376-4700
Practice Address - Fax:206-299-4449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty