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WHOLEHEARTED LIVING THERAPY LICENSED PROFESSIONAL CLINICAL COUNSELOR NPI 1487370862


NPI Information

NPI: 1487370862
Provider Name: WHOLEHEARTED LIVING THERAPY LICENSED PROFESSIONAL CLINICAL COUNSELOR,
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2030 ONTARIO CT
EL CAJON, CA
ZIP 92019
Phone: (619) 357-6986
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WHOLEHEARTED LIVING THERAPY LICENSED PROFESSIONAL CLINICAL COUNSELOR, is a mental health counselor in El Cajon, CA. WHOLEHEARTED LIVING THERAPY LICENSED PROFESSIONAL CLINICAL COUNSELOR, NPI is 1487370862. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2030 ONTARIO CT
EL CAJON, CA
ZIP 92019-231
Phone: (619) 357-6986

The provider's authorized official is Michelle Vidana .
The authorized official title is Owner and has the following contact phone number (619) 357-6986.

The enumeration date for this NPI number is 10/17/2022 and was last updated on 10/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15686OTHERCALIFORNIALICENSURE NUMBER LPCC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.