Healthcare Provider Details

I. General information

NPI: 1245197045
Provider Name (Legal Business Name): WHOLE HEARTED COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 S ACADEMY AVE
EAGLE ID
83616-6541
US

IV. Provider business mailing address

136 S ACADEMY AVE
EAGLE ID
83616-6541
US

V. Phone/Fax

Practice location:
  • Phone: 402-981-3022
  • Fax:
Mailing address:
  • Phone: 402-981-3022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: SHEILA M BLEWETT
Title or Position: OWNER AND COUNSELOR
Credential: LPC
Phone: 402-981-3022