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General NPI Number Information
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NPI Number | 1841171303
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Entity Type | Organization
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Legal Business Name | WHOLE BEING HEALTHCARE, LLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1129 HOSPITAL DR STE 1A
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-6393
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Country | US
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Telephone | 267-975-6765
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Fax | 470-299-7978
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Provider Business Mailing Address
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Address Line | 80 BURBANK DR NW
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City | ATLANTA
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State | GA
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Zip | 30314-2416
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Country | US
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Telephone | 267-975-6765
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Fax | 470-299-7978
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Authorized Official
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Title or Position | MANAGER
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Name | BRE HENRY
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Credential |
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Telephone | 404-987-6107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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