| Whole Living Llc | |
|
406 W Oak St Gunter TX 75058-2113 | |
| (214) 738-0119 | |
| Not Available |
| Full Name | Whole Living Llc |
|---|---|
| Speciality | Psychologist |
| Location | 406 W Oak St, Gunter, Texas |
| Authorized Official Name and Position | Susan Merritt (OWNER) |
| Authorized Official Contact | 2147380119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Living Llc 406 W Oak St Gunter TX 75058-2113 Ph: (214) 738-0119 | Whole Living Llc 406 W Oak St Gunter TX 75058-2113 Ph: (214) 738-0119 |
| NPI Number | 1619572385 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Medicare PECOS PAC ID | 1557763547 |
|---|---|
| Medicare Enrollment ID | O20210713003914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619572385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Suzan Mae Merritt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558969816 PECOS PAC ID: 2466854450 Enrollment ID: I20210713003982 |
North America: Relational Neuro Somatic Experiencing Therapy, Educatio Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1806 Turtle Creek Ln, Gunter, TX 75058 Phone: 903-218-7900 |