Healthcare Provider Details
I. General information
NPI: 1467163790
Provider Name (Legal Business Name): WHOLE CONNECTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/07/2022
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5335 W 48TH AVE FL 5
DENVER CO
80212-2731
US
IV. Provider business mailing address
5335 W 48TH AVE FL 5
DENVER CO
80212-2731
US
V. Phone/Fax
- Phone: 720-442-0946
- Fax: 720-590-6618
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PHILLIP
HORNER
Title or Position: OPERATING DIRECTOR
Credential:
Phone: 720-316-7774