Organization · Type 2 NPI

Whole Soul Healing Inc

Adult Mental Health Clinic/Center · Ooltewah, TN

NPI number 1003485913 Active

Practice location

4909 Hunter Village Dr
Ooltewah, TN 37363-9056

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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NPI record

NPI: 1003485913
Entity type: Organization (Type 2)
Issued: Jun 24, 2021
Last updated: Jun 7, 2022
Status: Active

Other names

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Whole Soul Healing LLC · former legal business name
Whole Soul Healing LLC · former legal business name

Authorized official

Amanda Fresnics, LCSW
Owner/therapist
(732) 693-4008

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003485913

Whole Soul Healing Inc's National Provider Identifier is 1003485913, issued on Jun 24, 2021. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Ooltewah, TN. The record was last updated on Jun 7, 2022.