Provider Demographics
NPI:1063224368
Name:WHOLE PERSON WELL CARE, PLLC
Entity type:Organization
Organization Name:WHOLE PERSON WELL CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAYLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENEY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:203-218-2225
Mailing Address - Street 1:12906 SE 201ST ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-1704
Mailing Address - Country:US
Mailing Address - Phone:203-218-2225
Mailing Address - Fax:253-248-6132
Practice Address - Street 1:12906 SE 201ST ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-1704
Practice Address - Country:US
Practice Address - Phone:203-218-2225
Practice Address - Fax:253-248-6132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care