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General NPI Number Information
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NPI Number | 1548125958
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Entity Type | Organization
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Legal Business Name | WHOLISTIC SOUL INC
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 2076 MESA DR SE
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City | ATLANTA
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State | GA
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Zip | 30316-4916
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Country | US
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Telephone | 562-239-7006
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 CHURCH ST STE 610-200
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City | DECATUR
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State | GA
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Zip | 30033-6065
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Country | US
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Telephone | 562-239-7006
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Fax |
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Authorized Official
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Title or Position | FOUNDER/PRESIDENT
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Name | TIFFANY FELIX
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Credential |
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Telephone | 562-239-7006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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