AWAKENED PHOENIX LLC
NPI 1215742085
Counselor - Mental Health in Terre Haute, IN

Active since February 10, 2025
900 WABASH AVE, TERRE HAUTE, IN 47807(812) 244-3919(812) 286-9183 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Awakened Phoenix Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AWAKENED PHOENIX LLC (NPI 1215742085) is a healthcare organization registered as a mental health in Terre Haute, Indiana and active in the NPI registry since February 2025. The organization lists Peggy Escobedo, Owner/clinician, as its authorized official.

NPPES Registry Identity

NPI1215742085
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameAWAKENED PHOENIX LLC
Location Address900 WABASH AVETerre Haute, IN 47807-3245
Mailing Address27 AllendaleTerre Haute, IN 47802-4751 · (812) 244-3919 · Fax (812) 286-9183
Fax(812) 286-9183
Organization SubpartNo
Authorized OfficialPeggy EscobedoOwner/clinician · (812) 244-3919
Enumeration DateFebruary 10, 2025
NPPES CertifiedFebruary 10, 2025
NPI 1215742085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
900 WABASH AVE, Terre Haute, IN 47807

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215742085, enumerated as an "organization" on February 10, 2025.

The provider is located at 900 WABASH AVE TERRE HAUTE, IN 47807 and the phone number is (812) 244-3919.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.