Provider Demographics
NPI:1912509316
Name:AWARENESS TO WELLNESS, LLC
Entity Type:Organization
Organization Name:AWARENESS TO WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:JO
Authorized Official - Last Name:ALSLEBEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-201-9588
Mailing Address - Street 1:901 4TH ST STE 289
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-2419
Mailing Address - Country:US
Mailing Address - Phone:715-201-9588
Mailing Address - Fax:
Practice Address - Street 1:701 2ND ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-1515
Practice Address - Country:US
Practice Address - Phone:715-201-9588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty