| Whole Soul Healing Inc | |
|
4909 Hunter Village Dr Ooltewah TN 37363-9056 | |
| (732) 693-4008 | |
| Not Available |
| Full Name | Whole Soul Healing Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4909 Hunter Village Dr, Ooltewah, Tennessee |
| Authorized Official Name and Position | Amanda Fresnics (OWNER/THERAPIST) |
| Authorized Official Contact | 7326934008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Soul Healing Inc 4909 Hunter Village Dr Ooltewah TN 37363-9056 Ph: (732) 693-4008 | Whole Soul Healing Inc 4909 Hunter Village Dr Ooltewah TN 37363-9056 Ph: (732) 693-4008 |
| NPI Number | 1003485913 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 06/07/2022 |
| Certification Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003485913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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