WHOLE WELLNESS THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION (NPI# 1811536337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811536337 |
| Entity Type | Organization |
| Organization Name | WHOLE WELLNESS THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION |
| Practice Address |
4125 Temescal St Ste A Fair Oaks CA 95628-7558 |
| Mailing Address |
5409 Celestial Way Citrus Heights CA 95610-7505 |
| Practice Telephone | 9166197744 |
| Practice Fax Number | 9165818691 |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2020-01-01 |
| Authorized Official Name | ISAAC SMITH (CEO) |
| Authorized Official Telephone | 9166193405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Whole Wellness Therapy | Doing Business As Name - Organization |
| Street Address |
4125 TEMESCAL ST STE A |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628-7558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383718 | The Whole Soul Counseling, Individual and Family Therapy, Inc. | Social Worker | 4125 Temescal St Ste A, Fair Oaks, CA 95628-7558 | 2018-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| Find all providers in zip 95628 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003347303 | Erin Ratcliff | Counselor | 5006 Sunrise Blvd Ste 104, Fair Oaks, CA 95628-4940 | 2017-03-27 |
| 1316351513 | Londa Kay Paulson | Counselor | 5150 Sunrise Blvd Ste G4, Fair Oaks, CA 95628-4965 | 2014-06-16 |
| 1083855787 | Nancy L Ryan | Counselor | 10235 Fair Oaks Blvd, Suite 203, Fair Oaks, CA 95628-7147 | 2009-03-10 |
| 1295982858 | Haideh Khosrowshahi Partovi | Counselor | 7996 Old Winding Way, Suite 210, Fair Oaks, CA 95628-7159 | 2008-08-25 |
| 1497779912 | Christan Elise Parker | Counselor | 4095 Bridge St, Suite A, Fair Oaks, CA 95628-7116 | 2006-07-27 |
| 1114946100 | George Howard Adams | Counselor | 7844 Madison Ave, Suite 105, Fair Oaks, CA 95628-3519 | 2006-07-19 |
| 1619574704 | Kristine Origone | Counselor | 9813 Fair Oaks Blvd Ste B, Fair Oaks, CA 95628-7012 | 2020-10-02 |
| 1528625209 | California Behavioral & Nursing Professionals PC | Counselor | 4112 Crestline Ave, Fair Oaks, CA 95628-7103 | 2019-05-29 |
| 1487116729 | The Center for Integration, Inc. | Counselor | 9100 Fair Oaks Blvd Ste B, Fair Oaks, CA 95628-6814 | 2019-04-04 |
| 1427590306 | Community Counseling Associates | Counselor | 5150 Sunrise Blvd, Suite H-1, Fair Oaks, CA 95628-4939 | 2016-11-09 |
| Find all providers in FAIR OAKS | ||||
Please comment or provide details below to improve the information on WHOLE WELLNESS THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.