Provider Demographics
NPI:1366267239
Name:WHOLESOME HEALING - HOLISTIC & INTEGRATIVE COUNSELING PLLC
Entity type:Organization
Organization Name:WHOLESOME HEALING - HOLISTIC & INTEGRATIVE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FORGUES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-961-6560
Mailing Address - Street 1:114 WATER TOWER PL # 1057
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-2248
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:33 CAFFONI DR
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-4994
Practice Address - Country:US
Practice Address - Phone:978-961-6560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty