Organization · NPI-2
Whole Soul Healing INC
Clinic/Center, Adult Mental Health · Ooltewah, TN
NPI number1003485913
StatusActive
Last updated in NPPESJun 7, 2022
Details
- NPI
- 1003485913
- Entity type
- Organization (NPI-2)
- Legal business name
- Whole Soul Healing INC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2021
- Certification date
- Jun 1, 2022
- Last updated
- Jun 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Other names
- Whole Soul Healing LLC (Former Legal Business Name)
Practice location
4909 Hunter Village DrOoltewah, TN 37363-9056
Phone 732-693-4008
Mailing address
4909 Hunter Village DrOoltewah, TN 37363-9056
Phone 732-693-4008
Authorized official
Amanda Fresnics
Owner/Therapist
7326934008
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.