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General NPI Number Information
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NPI Number | 1427728526
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Entity Type | Organization
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Legal Business Name | WHOLE HEALING MENTAL HEALTH LLC
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Dates
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Enumeration Date | 09/20/2021
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 2300 WILSON BLVD STE 700
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City | ARLINGTON
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State | VA
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Zip | 22201-5435
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Country | US
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Telephone | 301-500-0311
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 WILSON BLVD STE 700
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City | ARLINGTON
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State | VA
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Zip | 22201-5435
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Country | US
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Telephone | 301-500-0311
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | NICOLE TWAALFHOVEN
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Credential | LCPC-S
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Telephone | 301-500-0311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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