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General NPI Number Information
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NPI Number | 1669301644
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Entity Type | Organization
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Legal Business Name | WHOLE PERSON HEALING THERAPY, A MARRIAGE, FAMILY & INDIVIDUALS COUNSELING CORPORATION
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Dates
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Enumeration Date | 05/16/2026
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Last Update Date | 05/16/2026
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Provider Practice Location Address
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Address Line | 4419 VAN NUYS BLVD STE 208
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-5715
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Country | US
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Telephone | 818-262-5990
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Fax |
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Provider Business Mailing Address
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Address Line | 14320 VENTURA BLVD # 118
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2717
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Country | US
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Telephone | 818-262-5990
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHANIE KAVOULAKOS
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Credential | LMFT
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Telephone | 818-262-5990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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