Healthcare Provider Details

I. General information

NPI: 1144130329
Provider Name (Legal Business Name): WHOLECARE YOUTH AND FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 WASHINGTON BLVD STE 1004
STAMFORD CT
06902-2419
US

IV. Provider business mailing address

1351 WASHINGTON BLVD STE 202
STAMFORD CT
06902-2448
US

V. Phone/Fax

Practice location:
  • Phone: 203-703-1224
  • Fax:
Mailing address:
  • Phone: 203-703-1224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SAVASHIA HARRIS
Title or Position: FOUNDER; MANAGING MEMBER
Credential: LMFT
Phone: 203-703-1224