| Whole Wellness, Pllc | |
|
10701 Corporate Dr Suite 393 Stafford TX 77477-4096 | |
| (281) 940-8745 | |
| Not Available |
| Full Name | Whole Wellness, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10701 Corporate Dr, Stafford, Texas |
| Authorized Official Name and Position | Paula Vandyke (LICENSED THERAPIST/COUNSELOR) |
| Authorized Official Contact | 2819408745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Wellness, Pllc 10701 Corporate Dr Suite 393 Stafford TX 77477-4096 Ph: (281) 940-8745 | Whole Wellness, Pllc 10701 Corporate Dr Suite 393 Stafford TX 77477-4096 Ph: (281) 940-8745 |
| NPI Number | 1972873230 |
|---|---|
| Provider Enumeration Date | 01/04/2012 |
| Last Update Date | 01/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972873230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 201285 (Texas) | Secondary |
| 101YM0800X | Counselor - Mental Health | 64964 (Texas) | Primary |
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