Healthcare Provider Details
I. General information
NPI: 1851048078
Provider Name (Legal Business Name): WHOLE HEART HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/08/2022
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
196 W ASHLAND ST STE 311
DOYLESTOWN PA
18901-4040
US
IV. Provider business mailing address
196 W ASHLAND ST STE 311
DOYLESTOWN PA
18901-4040
US
V. Phone/Fax
- Phone: 267-810-2782
- Fax:
- Phone: 267-810-2782
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
COLLEEN
VERRIEST
Title or Position: OWNER/FOUNDER
Credential: LCSW
Phone: 267-810-2782