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AWAKEN WELLNESS NC, LLC
NPI 1518630599
Clinic/Center in Fayetteville, NC

Active since July 27, 2021
2529 RAEFORD RD, FAYETTEVILLE, NC 28305(910) 644-0588(725) 209-1671 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2021, Jul 27, 2021 (2 updates tracked since 2021).

About Awaken Wellness Nc, Llc NPPES

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

AWAKEN WELLNESS NC, LLC (NPI 1518630599) is a healthcare organization registered as a clinic/center in Fayetteville, North Carolina and active in the NPI registry since July 2021. The organization lists Tanya Gibbs, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1518630599
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAWAKEN WELLNESS NC, LLC
Location Address2529 RAEFORD RDFayetteville, NC 28305-5098
Mailing Address5964 Dalton RdFayetteville, NC 28314-1022 · (910) 973-2689 · Fax (725) 209-1671
Phone(910) 644-0588
Fax(725) 209-1671
Organization SubpartNo
Authorized OfficialTanya GibbsOwner/president · (910) 644-0588
Enumeration DateJuly 27, 2021
Last NPPES UpdateAugust 6, 20212 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1518630599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2529 RAEFORD RD, Fayetteville, NC 28305
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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

MRS. LAURA ELLEN BURNHAM MA, LPC, LCAS
Counselor (Mental Health)
2529 RAEFORD RD, SUITE C
FAYETTEVILLE, NC 28305
Cumberland County (910) 689-3524
FAYE A KNAUSS PSYD
Psychologist
2529 RAEFORD RD, STE COFFICE1
FAYETTEVILLE, NC 28305
Cumberland County (910) 759-1422
MS. GAIL FULSOM PTA
Massage Therapist
2529 RAEFORD RD
FAYETTEVILLE, NC 28305
Cumberland County (757) 270-4785

Frequently Asked Questions

What is AWAKEN WELLNESS NC, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1518630599, enumerated as an "organization" on July 27, 2021.

Where is the provider located?

The provider is located at 2529 RAEFORD RD FAYETTEVILLE, NC 28305 and the phone number is (910) 644-0588.

What is the provider's specialty?

Clinic/Center with taxonomy code 261Q00000X.