MEDICARE: WHOLE HEALTH MEDICAL AND MENTAL WELLNESS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363LF0000X	Family Nurse Practitioner
2	363LW0102X	Women's Health Nurse Practitioner
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1811844210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE HEALTH MEDICAL AND MENTAL WELLNESS, LLC

Provider Business Mailing Address
First Line	:	72 OAKGROVE CUTOFF RD
Second Line	:
City	:	SUMMERSVILLE
State	:	WV
Zip	:	26651-4924
Country	:	US
Telephone Number	:	304-237-8806
Fax Number	:

Provider Business Practice Location Address
First Line	:	72 OAKGROVE CUTOFF RD
Second Line	:
City	:	SUMMERSVILLE
State	:	WV
Zip	:	26651-4924
Country	:	US
Telephone Number	:	304-237-8806
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER/OWNER
Name	:	TONIA TAWES
Credential	:	FNP-C, PMHNP-BC
Telephone Number	:	304-237-8806

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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