Healthcare Provider Details

I. General information

NPI: 1558259580
Provider Name (Legal Business Name): WHOLE HUMAN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 WAYNE 340
PIEDMONT MO
63957-5901
US

IV. Provider business mailing address

321 WAYNE 340
PIEDMONT MO
63957-5901
US

V. Phone/Fax

Practice location:
  • Phone: 573-944-9441
  • Fax:
Mailing address:
  • Phone:
  • 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: FRED JEFFERY HANDY
Title or Position: OWNER
Credential:
Phone: 573-776-3904