AWAKENED PHOENIX LLC

TERRE HAUTE, IN
NPI1215742085
Entity TypeOrganization
Authorized ContactPEGGY ESCOBEDO
Owner/Clinician
812-244-3919
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-02-10
Last Update Date2025-02-10
Business Address
AWAKENED PHOENIX LLC
900 WABASH AVE
TERRE HAUTE, IN 47807-3245
Phone number: 812-244-3919
Mailing Address
AWAKENED PHOENIX LLC
27 ALLENDALE
TERRE HAUTE, IN 47802-4751
Phone number: 812-244-3919
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