MEDICARE: WHOLE AND HEALED INTEGRATIVE THERAPY PLLC

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1720933302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE AND HEALED INTEGRATIVE THERAPY PLLC

Provider Business Mailing Address
First Line	:	945 MCKINNEY ST # 10272
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-6308
Country	:	US
Telephone Number	:	832-481-4584
Fax Number	:

Provider Business Practice Location Address
First Line	:	2828 GREENBRIAR DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1454
Country	:	US
Telephone Number	:	832-481-4584
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGING MEMBER
Name	:	VENA COOK-CLARK
Credential	:	LPC
Telephone Number	:	832-481-4584

Provider Enumeration Date	:	02/28/2026
Last Update Date	:	02/28/2026

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