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NPI Code Detail

MEDICARE: WHOLE HEALING MENTAL HEALTH LLC

MEDICARE: WHOLE HEALING MENTAL HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1427728526
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHOLE HEALING MENTAL HEALTH LLC
Provider Business Mailing Address
First Line : 2300 WILSON BLVD STE 700
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-5435
Country : US
Telephone Number : 301-500-0311
Fax Number :
Provider Business Practice Location Address
First Line : 2300 WILSON BLVD STE 700
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-5435
Country : US
Telephone Number : 301-500-0311
Fax Number :
Authorized Official
Title or Position : OWNER/PARTNER
Name : NICOLE TWAALFHOVEN
Credential : LCPC-S
Telephone Number : 301-500-0311
Provider Enumeration Date : 09/20/2021
Last Update Date : 11/15/2024

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Directions to “WHOLE HEALING MENTAL HEALTH LLC ” Practice Location

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