Healthcare Provider Details

I. General information

NPI: 1508787383
Provider Name (Legal Business Name): WHOLEHEARTED CONNECTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 S 4TH ST
LAMAR CO
81052-2818
US

IV. Provider business mailing address

206 S 4TH ST
LAMAR CO
81052-2818
US

V. Phone/Fax

Practice location:
  • Phone: 719-691-2005
  • Fax:
Mailing address:
  • Phone: 719-691-2005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: BRIANN CRUZ APPEL
Title or Position: OWNER
Credential:
Phone: 719-691-2005