| Wholehearted Healing Counseling Llc | |
|
271b S Culver St Ste H Lawrenceville GA 30046-4805 | |
| (678) 824-5899 | |
| Not Available |
| Full Name | Wholehearted Healing Counseling Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 271b S Culver St Ste H, Lawrenceville, Georgia |
| Authorized Official Name and Position | Nicole Chacin (OWNER) |
| Authorized Official Contact | 6788245899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholehearted Healing Counseling Llc 271b S Culver St Ste H Lawrenceville GA 30046-4805 Ph: (719) 290-0525 | Wholehearted Healing Counseling Llc 271b S Culver St Ste H Lawrenceville GA 30046-4805 Ph: (678) 824-5899 |
| NPI Number | 1326496902 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326496902 | NPI | - | NPPES |
| 12573679 | Other | GA | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 008888 (Georgia) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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