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General NPI Number Information
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NPI Number | 1982496014
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Entity Type | Organization
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Legal Business Name | WHOLE BEING MENTAL HEALTH LLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 410 S ORCHARD ST STE 136
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City | BOISE
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State | ID
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Zip | 83705-1288
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Country | US
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Telephone | 208-901-9303
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Fax |
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Provider Business Mailing Address
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Address Line | 4735 N WINDWARD CT
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City | GARDEN CITY
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State | ID
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Zip | 83714-4763
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Country | US
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Telephone | 208-890-5789
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHAD GOLD
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Credential | LPC
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Telephone | 208-890-5789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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