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General NPI Number Information
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NPI Number | 1245140144
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Entity Type | Organization
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Legal Business Name | WHOLEMIND BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 95 ELIAB LATHAM WAY
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City | EAST BRIDGEWATER
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State | MA
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Zip | 02333-2400
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Country | US
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Telephone | 339-933-6151
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Fax |
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Provider Business Mailing Address
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Address Line | 95 ELIAB LATHAM WAY
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City | E BRIDGEWATER
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State | MA
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Zip | 02333-2400
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Country | US
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Telephone | 339-933-6151
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KERRI A. WIKE-HALLAB
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Credential | DBH, LMHC
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Telephone | 339-933-6151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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