Provider Demographics
NPI:1215687116
Name:WHOLE IN HEART COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:WHOLE IN HEART COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KARIS
Authorized Official - Middle Name:LEANNE
Authorized Official - Last Name:MCCLAMMY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:470-322-4971
Mailing Address - Street 1:3101 FLOWERS RD S APT H
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-5653
Mailing Address - Country:US
Mailing Address - Phone:229-291-3995
Mailing Address - Fax:
Practice Address - Street 1:1700 NORTHSIDE DR NW STE A7
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2695
Practice Address - Country:US
Practice Address - Phone:229-291-3995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty