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NPI Code Detail

MEDICARE: WHOLLY HEALING THERAPY LLC

MEDICARE: WHOLLY HEALING THERAPY 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
1104100000XSocial Worker

General Provider Information

NPI Number : 1497680284
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHOLLY HEALING THERAPY LLC
Provider Business Mailing Address
First Line : 1035 PEARL ST STE 315
Second Line :
City : BOULDER
State : CO
Zip : 80302-5130
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8774 YATES DR STE 135
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-6966
Country : US
Telephone Number : 570-899-5038
Fax Number :
Authorized Official
Title or Position : OWNER
Name : BRIONNA MURRAY
Credential :
Telephone Number : 570-899-5038
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “WHOLLY HEALING THERAPY LLC ” Practice Location

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