AWAKENING WELLNESS CLINIC LLP
NPI 1649053539
Clinic/Center - Health Service in Hernando, MS

Active since August 15, 2023
165 W SOUTH ST, HERNANDO, MS 38632(901) 232-4114(662) 932-4230 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 7, 2024, Aug 15, 2023 (2 updates tracked since 2023).

  • Organization
  • Clinic/Center
  • Health Service

About AWAKENING WELLNESS CLINIC LLP

This page provides the complete NPI Profile along with additional information for Awakening Wellness Clinic Llp, a provider established in Hernando, Mississippi operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1649053539 assigned on August 2023. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Ms. Latonya S Binion (Owner)

NPI
1649053539 Verify this NPI
Provider Name
AWAKENING WELLNESS CLINIC LLP
Entity Type
Organization
Location Address
165 W SOUTH ST HERNANDO, MS 38632
Location Phone
(901) 232-4114
Location Fax
(662) 932-4230
Mailing Address
165 W SOUTH ST HERNANDO, MS 38632
Mailing Phone
(901) 232-4114
Mailing Fax
(662) 932-4230
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-15-2023
Last Update Date
02-07-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1291U00000XLaboratories

Clinical Medical Laboratory

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. LATONYA S BINION

Authorized Official Title
OWNER
Authorized Official Phone
(901) 232-4114

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Optometrist
165 W SOUTH ST
HERNANDO, MS 38632
Dentist
165 W SOUTH ST
HERNANDO, MS 38632
Durable Medical Equipment & Medical Supplies
165 W SOUTH ST, SUITE 208
HERNANDO, MS 38632
In Home Supportive Care
165 W SOUTH ST
HERNANDO, MS 38632

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649053539, enumerated as an "organization" on August 15, 2023.

The provider is located at 165 W SOUTH ST HERNANDO, MS 38632 and the phone number is (901) 232-4114.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.