MEDICARE: WHOLISTIC SOUL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174400000X	Specialist
2	171400000X	Health & Wellness Coach
3	174H00000X	Health Educator
4	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1548125958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLISTIC SOUL INC

Provider Business Mailing Address
First Line	:	1605 CHURCH ST STE 610-200
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-6065
Country	:	US
Telephone Number	:	404-890-0039
Fax Number	:

Provider Business Practice Location Address
First Line	:	2076 MESA DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-4916
Country	:	US
Telephone Number	:	562-239-7006
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/PRESIDENT
Name	:	MS. TIFFANY FELIX
Credential	:
Telephone Number	:	562-247-4752

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	03/03/2026

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Directions to “WHOLISTIC SOUL INC ” Practice Location

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