MEDICARE: I AM WHOLE 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1982495305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I AM WHOLE LLC

Provider Business Mailing Address
First Line	:	6618 CHARTWELL DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-3535
Country	:	US
Telephone Number	:	757-819-8318
Fax Number	:

Provider Business Practice Location Address
First Line	:	6618 CHARTWELL DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-3535
Country	:	US
Telephone Number	:	757-819-8318
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRYSTAL NICOLE DAVIS
Credential	:	LPC
Telephone Number	:	757-819-8318

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	05/20/2025

Similar Medicare Providers

1760433056 — MR. LEWIS REID MIKESELL LCSW
Practice Location Address:

2377 PRINCESS ANNE RD
VIRGINIA BEACH, VA
23456-3535

Practice Phone: 757-427-5987
Practice Fax: 757-563-0887

1518039551 — MICHELE T MIKESELL LCSW
Practice Location Address:

2377 PRINCESS ANNE RD
VIRGINIA BEACH, VA
23456-3535

Practice Phone: 757-427-5987
Practice Fax: 757-563-0887

1669478020 — ROYAL MAJESTY HOME CARE, INC
Practice Location Address:

3939 ATLANTIC AVE STE 212
LONG BEACH, CA
90807-3535

Practice Phone: 562-492-9600
Practice Fax: 562-492-9377

1457340713 — DR. JESSE MANUEL VALENCIA PT,DC
Practice Location Address:

3535 E 7TH ST
LONG BEACH, CA
90804-5138

Practice Phone: 562-434-0062
Practice Fax: 562-439-4617

1023081643 — DR. CAMILLE A. MCDONALD-TOUSSAINT MD
Practice Location Address:

2701 NE 14TH STREET CSWY STE 2
POMPANO BEACH, FL
33062-3535

Practice Phone: 954-824-1764
Practice Fax: 954-824-2017

1861448946 — ANDREW SCHLEIN MD
Practice Location Address:

10075 S JOG RD , STE 207
BOYNTON BEACH, FL
33437-3535

Practice Phone: 561-737-8177
Practice Fax: 561-737-3677

Directions to “I AM WHOLE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.